Robert J Kennerley Phd Pa | |
265 N Causeway New Smyrna Beach FL 32169-5239 | |
(386) 423-9161 | |
(386) 423-3094 |
Full Name | Robert J Kennerley Phd Pa |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 265 N Causeway, New Smyrna Beach, Florida |
Authorized Official Name and Position | Robert John Kennerley (PSYCHOLOGIST) |
Authorized Official Contact | 3864239161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert J Kennerley Phd Pa 265 N Causeway New Smyrna Beach FL 32169-5239 Ph: (386) 423-9161 | Robert J Kennerley Phd Pa 265 N Causeway New Smyrna Beach FL 32169-5239 Ph: (386) 423-9161 |
NPI Number | 1003053646 |
---|---|
Provider Enumeration Date | 01/20/2009 |
Last Update Date | 08/26/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003053646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | PY6507 (Florida) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | PY6507 (Florida) | Secondary |
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