Individual
JOHN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
1200 E BRIN ST, TERRELL, TX 75160
(972) 524-6452
Mailing address
P O BOX 70, TERRELL, TX 75160
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
23253
TX
103TC0700X
Clinical Psychologist
23253
TX
103TC2200X
Clinical Child & Adolescent Psychologist
23253
TX
103TF0200X
Forensic Psychologist
Primary
23253
TX
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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