Individual
DR. LINDA T KENNEDY
Active
Individual
DR. LINDA T KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0861
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76071235
—
NM
Enumeration date
08/31/2006
Last updated
03/31/2011
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