Organization
M.J. KENNEDY, PH.D. INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA J KENNEDY PH.D. (OWNER)
(281) 480-9291
Entity
Organization
Contact information
Practice address
16846 ROYAL CREST DR, HOUSTON, TX 77058-2529
(281) 480-9291
(281) 218-6116
Mailing address
16846 ROYAL CREST DR, HOUSTON, TX 77058-2529
(281) 480-9291
(281) 218-6116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22127
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040801
—
TX
Enumeration date
09/05/2007
Last updated
09/05/2007
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