Individual
DR. SUZANNE M. KENNEALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1793
CO
103G00000X
Clinical Neuropsychologist
CO1793
CO
103T00000X
Psychologist
1793
CO
103T00000X
Psychologist
Primary
CO1793
CO
Other
Enumeration date
03/14/2007
Last updated
09/21/2009
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