Individual
DR. CAROLINE B. KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-7036
Mailing address
107 BOWATER CT, MEDIA, PA 19063-5528
(610) 209-3591
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015483
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103387909001
—
PA
Enumeration date
11/10/2006
Last updated
09/08/2021
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