Individual
DR. KEVIN RUSSELL GANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
660 NEWTOWN YARDLEY RD, SUITE 201, NEWTOWN, PA 18940-1759
(215) 860-2525
(215) 860-3868
Mailing address
660 NEWTOWN YARDLEY RD, SUITE 201, NEWTOWN, PA 18940-1759
(215) 860-2525
(215) 860-3868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016131
PA
103TC0700X
Clinical Psychologist
PS016131
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS016131
PA
Other
Enumeration date
12/08/2006
Last updated
06/08/2011
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