Gagnon, Kerry Lyn

Gagnon, Kerry Lyn is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gagnon, Kerry Lyn can be contacted via phone (215) 590-1000.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Phone: (215) 590-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS020150 Pennsylvania

Profile Details

NPI number 1679056741
LBN Legal business name Gagnon, Kerry Lyn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2018
Last updated Aug 16th, 2024 - 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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