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Individual

MICHELLE KENNEDY CARDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3467 UNIVERSITY AVE, MORGANTOWN, WV 26505-3051
(304) 692-6816
Mailing address
108 KAY ST, MORGANTOWN, WV 26501-8506
(304) 692-6816

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
121916
WV
103TC0700X
Clinical Psychologist
121916
WV
103TC1900X
Counseling Psychologist
Primary
121916
WV

Other

Enumeration date
12/29/2016
Last updated
12/29/2016
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