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NPI Code Detail

MEDICARE: KATHLEEN PICKARD

MEDICARE: KATHLEEN PICKARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1346895968
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN PICKARD
Provider Business Mailing Address
First Line : 1200 OLD YORK RD STE 101
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-2034
Country : US
Telephone Number : 215-394-8625
Fax Number : 215-933-6898
Provider Business Practice Location Address
First Line : 1200 OLD YORK RD STE 101
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-2034
Country : US
Telephone Number : 215-394-8625
Fax Number : 215-933-6898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2019
Last Update Date : 08/09/2019

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Directions to “ KATHLEEN PICKARD ” Practice Location

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