Individual
DR. SALLY ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1160 S MILLEDGE AVE, SUITE 130, ATHENS, GA 30605-1350
(706) 296-1202
Mailing address
1160 S MILLEDGE AVE, SUITE 130, ATHENS, GA 30605-1350
(706) 296-1202
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2915
GA
103TC1900X
Counseling Psychologist
Primary
2915
GA
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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