Individual
DR. DAVID R. KENIS
Active
Individual
DR. DAVID R. KENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20040382
IN
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
20040382
IN
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
10/14/2005
Last updated
09/11/2025
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