Individual
KATHRYN AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
521 WASHINGTON PL, CHESTERBROOK, CHESTERBROOK, PA 19087-5868
(610) 993-3112
Mailing address
521 WASHINGTON PL, CHESTERBROOK, CHESTERBROOK, PA 19087-5868
(610) 993-3112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-006199-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2318724000
PERSONAL CHOICE
PA
01
—
467089
BCBS
PA
Enumeration date
09/21/2006
Last updated
07/08/2007
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