Organization
DR. KENNETH G. SMALL
Active
Organization
DR. KENNETH G. SMALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH G SMALL PH.D. (OWNER)
(717) 795-8588
Entity
Organization
Contact information
Practice address
410 E MAIN ST, MECHANICSBURG, PA 17055-6515
(717) 795-8588
(717) 795-0541
Mailing address
410 E MAIN ST, MECHANICSBURG, PA 17055-6515
(717) 795-8588
(717) 795-0541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004858-L
PA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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