Individual
DR. JEREMY WILSON KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2905 RIVER RD S, SALEM, OR 97302-9754
(971) 258-7993
Mailing address
2905 RIVER RD S, SALEM, OR 97302-9754
(971) 258-7993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2210
OR
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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