Martin Gerard Kennedy, PH.D. Valid NPI
Individual provider · Counseling Psychologist · O Fallon, MO
- NPI
- 1477846087
- Type
- Individual (Type 1)
- Primary specialty
- Counseling Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC1900X
- License number
- 2011011884 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-05-16
- Last updated
- 2011-05-16
Practice location
4142 Keaton Crossing Blvd, Suite 101
O Fallon, MO 63368-8404
(636) 300-9333