Individual
DR. KENDRA LEEANN LACONSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
30466 SGT E I BOOTS THOMAS DR STE 208, SPANISH FORT, AL 36527-7631
(251) 586-1009
Mailing address
30466 SGT E I BOOTS THOMAS DR STE 208, SPANISH FORT, AL 36527-7631
(251) 586-1009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1055
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000098834
—
AL
Enumeration date
01/25/2007
Last updated
04/22/2019
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