Provider Demographics
NPI:1386064483
Name:MCKENDRY, KATHRYN (MS, LPC, CRC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:MCKENDRY
Suffix:
Gender:F
Credentials:MS, LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 KERN DR
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-4144
Mailing Address - Country:US
Mailing Address - Phone:570-335-7531
Mailing Address - Fax:
Practice Address - Street 1:860 BROAD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-3630
Practice Address - Country:US
Practice Address - Phone:570-335-7531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional