IndividualActive
Greg Kidorf, PH.D.
NPI 1093589905 · Clinical Child & Adolescent Psychologist · Willow Grove, PA
Provider details
- NPI number
- 1093589905
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 008606-L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
630 Fitzwatertown Rd
Willow Grove, PA 19090-1927
Phone: (267) 861-3635
Approximate (ZIP-level) locationGet directions
Mailing address
1537 Lexington Dr
Dresher, PA 19025-1255
Registry dates
- Enumerated
- 2023-11-10
- Last updated
- 2023-11-10
- Certified
- 2023-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.