Individual
CRYSTAL EMMA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
207 FLOWE AVE, KANNAPOLIS, NC 28083-4573
(240) 423-5461
Mailing address
207 FLOWE AVE, KANNAPOLIS, NC 28083-4573
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
MHL-013-253
NC
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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