Individual
DR. KATHLEEN RAY BHOGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
987 OLD EAGLE SCHOOL RD, SUITE 719, WAYNE, PA 19087-1708
(610) 971-2277
(610) 971-0144
Mailing address
760 OAK VIEW ROAD, ARDMORE, PA 19003
(610) 971-2277
(610) 971-0144
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017028
PA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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