MR. KEVIN MICHAEL MEDICAN M.S., L.P.C.
NPI 1366771719
Counselor - Professional in New Hope, PA
Active since December 14, 2009
About Mr. Kevin Michael Medican M.s., L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN MICHAEL MEDICAN M.S., L.P.C. (NPI 1366771719) is an individual professional provider in New Hope, Pennsylvania, licensed in Pennsylvania (PC005981) and active in the NPI registry since December 2009.
NPPES Registry Identity
NPI1366771719
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KEVIN MICHAEL MEDICANCredential: M.S., L.P.C.
Location Address103 AVON LNNew Hope, PA 18938-1073
Mailing Address103 Avon LnNew Hope, PA 18938-1073 · (215) 862-0750
Phone(215) 862-0750
Sole ProprietorYes
Enumeration DateDecember 14, 2009
Last NPPES UpdateAugust 8, 2011
✔ NPI 1366771719 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC005981
103 AVON LN, New Hope, PA 18938
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366771719, enumerated as an "individual" on December 14, 2009.
The provider is located at 103 AVON LN NEW HOPE, PA 18938 and the phone number is (215) 862-0750.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
