Basic Information
| Provider Information | |||||||||
| NPI: | 1053912089 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KEMPER | ||||||||
| FirstName: | CLAIRE | ||||||||
| MiddleName: | EVELYN | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3803 W CHESTER PIKE STE 160 | ||||||||
| Address2: | |||||||||
| City: | NEWTOWN SQUARE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190732336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4843371601 | ||||||||
| FaxNumber: | 4843371410 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 E LANCASTER AVE STE B11 | ||||||||
| Address2: | |||||||||
| City: | WYNNEWOOD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190963450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4844762658 | ||||||||
| FaxNumber: | 4844763577 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2020 | ||||||||
| LastUpdateDate: | 11/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC011935 | PA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.