Individual
STEPHANIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 26TH ST, SAN DIEGO, CA 92102-3026
(619) 780-0400
Mailing address
458 26TH ST, SAN DIEGO, CA 92102-3026
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
220087257
CA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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