Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kerry Lyn Gagnon, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1679056741

Dr. Kerry Lyn Gagnon, PHD is a Cognitive & Behavioral Psychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS020150 (PA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X

Record details

NPI number1679056741
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 13, 2018
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024

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