Individual
KENNETH J SEEBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1200 E HIGH ST, SUITE 302, POTTSTOWN, PA 19464-4954
(610) 327-1364
(610) 327-1362
Mailing address
1000 SHEARWATER DR, AUDUBON, PA 19403-2012
(610) 327-1364
(610) 327-1362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-4726-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179501000
INDEPENDENCE BLUE CROSS
PA
01
—
178307
BLUE SHIELD
PA
Enumeration date
01/02/2007
Last updated
07/08/2007
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