MEDICARE: CAITLIN CHUN-KENNEDY PH.D.

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
1	103TC1900X	Counseling Psychologist	PS019157	PA

General Provider Information

NPI Number	:	1790510725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN CHUN-KENNEDY PH.D.

Provider Business Mailing Address
First Line	:	2007 PARK FOREST AVE
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-1333
Country	:	US
Telephone Number	:	717-321-3675
Fax Number	:

Provider Business Practice Location Address
First Line	:	2007 PARK FOREST AVE
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-1333
Country	:	US
Telephone Number	:	717-321-3675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

Similar Medicare Providers

1649726142 — TRI STATE MEDICARE PROVIDERS
Practice Location Address:

2571 LAFEUILLE AVE
CINCINNATI, OH
45211-8200

Practice Phone: 513-836-1000
Practice Fax: 888-527-4411

1780011254 — NATASHA R. VOLKERS M.S.
Practice Location Address:

2007 PARK FOREST AVE
STATE COLLEGE, PA
16803-1333

Practice Phone: 814-353-1487
Practice Fax:

1831173897 — DR. CHRISTINE ELIZABETH WEIKERT D.P.M.
Practice Location Address:

1333 S ALLEN ST , SUITE 4
STATE COLLEGE, PA
16801-5944

Practice Phone: 814-231-0451
Practice Fax: 814-231-1817

1457385395 — CHRISTINE E WEIKERT DPM PC
Practice Location Address:

1333 S ALLEN ST , SUITE 4
STATE COLLEGE, PA
16801-5944

Practice Phone: 814-231-0451
Practice Fax: 814-231-1817

1073904603 — ACTIVE ORTHOTICS & PROSTHETICS, LLC
Practice Location Address:

1333 S ALLEN ST
STATE COLLEGE, PA
16801-5944

Practice Phone: 814-231-0451
Practice Fax: 814-231-1817

1891688727 — ADVANCED ORTHOPEDICS CENTER
Practice Location Address:

1333 S ALLEN ST STE 3
STATE COLLEGE, PA
16801-5944

Practice Phone: 814-231-0130
Practice Fax: 814-231-4502

Directions to “ CAITLIN CHUN-KENNEDY PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.