Healthcare Provider Details

I. General information

NPI: 1952661068
Provider Name (Legal Business Name): KATHRYN E HARTLEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W BROAD ST
MALVERN PA
19355-2509
US

IV. Provider business mailing address

117 W BROAD ST
MALVERN PA
19355-2509
US

V. Phone/Fax

Practice location:
  • Phone: 484-753-4141
  • Fax:
Mailing address:
  • Phone: 484-753-4141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC001416
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: