Individual
MRS. KATHLEEN ANN CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
22 MAPLE LN, GLEN MILLS, PA 19342-2250
(610) 459-9719
(610) 358-2832
Mailing address
22 MAPLE LN, GLEN MILLS, PA 19342-2250
(610) 459-9719
(610) 358-2832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005404L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018856800001
MEDICAL ASSISTANCE
PA
Enumeration date
03/28/2007
Last updated
09/17/2007
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