Kenneth Gregory Small in Mechanicsburg - Clinical
Kenneth Gregory Small - NPI 1689676413
Kenneth Gregory Small is a Clinical in Mechanicsburg, Pennsylvania. Kenneth Gregory Small practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Gregory Small is 1689676413. The last update date is 2023-11-07.
Kenneth Gregory Small's current location address is 410 E Main St, Mechanicsburg, Pennsylvania. You can contact this provider via phone number 7177958588 and fax number 7177950541. The mailing address for Kenneth Gregory Small is 410 E Main St, Mechanicsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Gregory Small |
|---|---|
| Address | 410 E Main St, Mechanicsburg, Pennsylvania |
| Phone Number | 7177958588 |
| Fax Number | 7177950541 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1689676413 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2023-11-07 |
Provider Mailing Address Detail
| Address | 410 E Main St |
|---|---|
| City | Mechanicsburg |
| State | Pennsylvania (PA) |
| Post Code | 170556515 |
| Phone Number | 7177958588 |
| Fax Number | 7177950541 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS-004858-L |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Kenneth Gregory Small by the Centers for Medicare & Medicaid Services?
The Kenneth Gregory Small has been assigned the NPI (National Provider Identifier) 1689676413 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kenneth Gregory Small?
The Kenneth Gregory Small is situated at 410 E Main St, in the city of Mechanicsburg, state of PA, with the zip code 170556515.
What is Kenneth Gregory Small's area of expertise and its corresponding taxonomy classification?
The Kenneth Gregory Small's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Kenneth Gregory Small receive its 1689676413 assignment?
The Kenneth Gregory Small was assigned its 1689676413 on 2005-08-11, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689676413 to Kenneth Gregory Small?
The Centers for Medicare & Medicaid Services originally issued the 1689676413 to Kenneth Gregory Small on 2005-08-11.