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Individual

DR. KERRY ANN KENNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2676 CALIFORNIA AVE, PITTSBURGH, PA 15212-2669
(412) 716-2078
(412) 766-1731
Mailing address
2676 CALIFORNIA AVE, PITTSBURGH, PA 15212-2669
(412) 716-2078
(412) 766-1731

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016023
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015604510001
PA
01
P00290787
RAIL ROAD
PA
Enumeration date
07/20/2006
Last updated
08/27/2008
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