Organization
KERRIE SMEDLEY, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRIE DIANE SMEDLEY PHD (PSYCHOLOGIST, OWNER)
(717) 679-0544
Entity
Organization
Contact information
Practice address
44 E MAIN ST, ANNVILLE, PA 17003-1411
(717) 679-0544
Mailing address
44 E MAIN ST, ANNVILLE, PA 17003-1411
(717) 966-1388
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017435
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346476090
INDIVIDUAL NPI
PA
01
—
PS017435
PA LICENSE
—
Enumeration date
05/01/2018
Last updated
10/21/2022
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