Individual
DR. BRETT PATRICK KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1133 BROADWAY STE 811, NEW YORK, NY 10010-8307
(917) 328-2665
Mailing address
1133 BROADWAY STE 811, NEW YORK, NY 10010-8307
(917) 328-2665
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015134
NY
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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