Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREG KIDORF, PH.D.
Active Sole ProprietorDR. GREG KIDORF, PH.D. is a Child, Clinical Psychologist healthcare provider located in WILLOW GROVE, Pennsylvania. NPI 1093589905 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · WILLOW GROVE, PA
Registration Details
- NPI Number
- 1093589905
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2023 (2.802973164641 yrs)
- Last Updated
- Nov 10, 2023
- License
-
008606-L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 FITZWATERTOWN RDWILLOW GROVE, PA, 190901927Browse PA providers · Browse ZIP 19090
- Phone
- 2678613635
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.