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Organization

BPS ADVANCED WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEAL J KENNINGTON PH.D. (CLINICAL PSYCHOLOGIST)
(602) 292-2881
Entity
Organization

Contact information

Practice address
14441 W MCDOWELL RD, SUITE B-102, GOODYEAR, AZ 85395-2519
(602) 292-2881
Mailing address
14441 W MCDOWELL RD, SUITE B-102, GOODYEAR, AZ 85395-2519
(602) 292-2881

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4195
AZ

Other

Enumeration date
02/25/2015
Last updated
02/25/2015
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