Individual
BETH DOHONEY KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
30409
TX
103TC0700X
Clinical Psychologist
Primary
23081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038854802
—
TX
Enumeration date
04/05/2006
Last updated
08/01/2019
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