Kidorf, Greg

Kidorf, Greg is an sole proprietor health care provider with primary practice located at 630 Fitzwatertown Rd , Willow Grove PA 19090-1927. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Kidorf, Greg can be contacted via phone (267) 861-3635.

Contact Information

Primary practice address
630 Fitzwatertown Rd Willow Grove PA 19090-1927
Phone: (267) 861-3635
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 008606-L Pennsylvania

Profile Details

NPI number 1093589905
LBN Legal business name Kidorf, Greg
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2023
Last updated Nov 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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