KELLIE LYNN WICKLUND (NPI# 1932534633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932534633 |
| Entity Type | Individual |
| Full Name | KELLIE LYNN WICKLUND |
| Credential | MA, NCP, LPC |
| Practice Address |
1355 Old York Rd Suite - 302 Abington PA 19001-3413 |
| Practice Telephone | 2674322374 |
| Mailing Telephone | 2674322374 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC004810 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1355 OLD YORK RD SUITE - 302 |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538139118 | Adam David Schreiber | Acupuncturist | 1355 Old York Rd, Abington, PA 19001-3413 | 2006-01-25 |
| 1295136059 | Janice Elizabeth Mcphelin | Lactation Consultant, Non-RN | 1355 Old York Rd, Suite 101, Abington, PA 19001-3413 | 2014-09-11 |
| 1982005740 | Jennifer Mcclure | Lactation Consultant, Non-RN | 1355 Old York Rd, Suite 101, Abington, PA 19001-3413 | 2014-09-11 |
| 1790111417 | Lisa Sicilia-macrina | Social Worker | 1355 Old York Rd, Suite 302, Abington, PA 19001-3413 | 2013-09-26 |
| 1083964126 | Dana M Carlomagno | Counselor | 1355 Old York Rd, Suite 302, Abington, PA 19001-3413 | 2012-09-17 |
| 1932454758 | Kathleen Dittrich | Registered Nurse | 1355 Old York Rd, Suite 301, Abington, PA 19001-3413 | 2012-07-18 |
| 1346507506 | Breastfeeding Resource Center | Lactation Consultant, Non-RN | 1355 Old York Rd, Suite 101, Abington, PA 19001-3413 | 2012-04-12 |
| 1134389638 | Christa Glogowski | Chiropractor | 1355 Old York Rd, Abington, PA 19001-3413 | 2008-06-10 |
| 1184818148 | Abington Family Chiropractic, P.C. | Chiropractor | 1355 Old York Rd, Abington, PA 19001-3413 | 2007-09-04 |
| 1427024629 | Gerald J Leistrum | Chiropractor | 1355 Old York Rd, Abington, PA 19001-3413 | 2006-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
| 1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
| 1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
| 1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
| 1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
| 1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| Find all providers in zip 19001 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075329 | Jaclynn Laino | Counselor | 1477 Rockwell Rd, Abington, PA 19001-2623 | 2018-03-07 |
| 1487903514 | Colleen Patricia Williams | Counselor | 60 Loganberry Dr, Abington, MA 02351-1541 | 2012-09-05 |
| 1306175427 | Annemarie Teodori | Counselor | 1972 Susquehanna Rd, Abington, PA 19001-4516 | 2009-12-19 |
| 1053558395 | Kimberly A Schmidt | Counselor | 120 North Ave, Apt 3, Abington, MA 02351-1747 | 2009-01-08 |
| 1356543953 | Courtney Eve Parker | Counselor | 2009 Butler Ave, Abington, PA 19001-1803 | 2007-06-05 |
| 1891916755 | Patricia Catherine Leahy | Counselor | 24 Legion Dr., Abington, MA 02351-2036 | 2007-05-01 |
| 1568505618 | Mary Faux | Counselor | 73 Walnut Street, Abington, MA 02351-2532 | 2007-02-15 |
| 1780751370 | Jeanne Maria Giddens | Counselor | 1540 Bedford St, Suite 3, Abington, MA 02351-1062 | 2006-11-29 |
| 1497221246 | Rebekah Lyle | Counselor | 1369 Old York Rd, Abington, PA 19001-3411 | 2018-10-19 |
| 1225573462 | Cheri Rawlinson | Counselor | 1200 Old York Rd, Abington, PA 19001-3720 | 2016-12-26 |
| Find all providers in ABINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.