Individual
GRACE AGNES KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
US NAVAL HOSPITAL GUAM, BLDG 50, FARENHOLT AVE, AGANA HEIGHTS, GU 96910
(671) 344-7135
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
0810007785
VA
Other
Enumeration date
10/19/2021
Last updated
02/22/2023
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