Provider Demographics
NPI:1225990153
Name:DUDLEY, KYLE L SR (PSYD, MS)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:L
Last Name:DUDLEY
Suffix:SR
Gender:M
Credentials:PSYD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 KENWOOD DR N
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055-2446
Mailing Address - Country:US
Mailing Address - Phone:267-296-3859
Mailing Address - Fax:
Practice Address - Street 1:133 KENWOOD DR N
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055-2446
Practice Address - Country:US
Practice Address - Phone:267-296-3859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC019619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional