| Kencrest Services | |
|
960a Harvest Dr Ste 100 Blue Bell PA 19422-1991 | |
| (610) 825-9360 | |
| Not Available |
| Full Name | Kencrest Services |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 960a Harvest Dr Ste 100, Blue Bell, Pennsylvania |
| Authorized Official Name and Position | Brandon Scott Zerr (DIRECTOR CLIENT FINANCE) |
| Authorized Official Contact | 6108259360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kencrest Services 960a Harvest Dr Ste 100 Blue Bell PA 19422-1991 Ph: (610) 825-9360 | Kencrest Services 960a Harvest Dr Ste 100 Blue Bell PA 19422-1991 Ph: (610) 825-9360 |
| NPI Number | 1922683473 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922683473 | NPI | - | NPPES |
| 250570467 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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