Individual
DR. KENNON M. S. MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
221 N SAN MATEO DR, SAN MATEO, CA 94401-2608
(650) 344-1248
Mailing address
221 N SAN MATEO DR, SAN MATEO, CA 94401-2608
(650) 344-1248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CA PSY 23179
CA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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