Individual
DR. KENNETH GREGORY SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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
PS-004858-L
PA
Other
Enumeration date
08/11/2005
Last updated
11/07/2023
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