Individual
DR. KENNETH WAYNE COVELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4025 CHESTNUT ST, COUNCIL FOR RELATIONSHIPS, PHILADELPHIA, PA 19104-3054
(215) 382-6680
(215) 386-1743
Mailing address
1146 ANN DR, CHERRY HILL, NJ 08003-2721
(856) 354-0137
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS002456L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS002456L
PSYCHOLOGY LICENSE NUMBER
PA
Enumeration date
06/07/2007
Last updated
07/08/2007
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