Individual
DR. RICHARD T. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
57 W MAIN ST, CHEHALIS, WA 98532-4815
(360) 740-8533
(360) 740-8534
Mailing address
57 W MAIN ST, CHEHALIS, WA 98532-4815
(360) 740-8533
(360) 740-8534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001919
WA
Other
Enumeration date
07/13/2006
Last updated
01/07/2008
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