Individual
JOANNA CLARE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3020 CHILDRENS WAY # MC5042, SAN DIEGO, CA 92123-4223
(858) 966-7453
Mailing address
3020 CHILDRENS WAY # MC5042, SAN DIEGO, CA 92123-4223
(858) 966-7453
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30902
CA
Other
Enumeration date
08/29/2012
Last updated
06/27/2019
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