Individual
MRS. KATHLEEN ANN BASEHORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
622 PENN VALLEY RD, BERNVILLE, PA 19506-8301
(610) 488-7812
(610) 488-7812
Mailing address
622 PENN VALLEY RD, P.O. BOX 208, BERNVILLE, PA 19506-8301
(610) 488-7812
(610) 488-7812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-006731-L
PA
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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