Organization
KENNETH MCKENNA, PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALLEN MCKENNA PH.D. (PSYCHOLOGIST)
(940) 595-9152
Entity
Organization
Contact information
Practice address
1402 N CORINTH ST STE 112, CORINTH, TX 76208-5445
(940) 595-9152
(940) 279-1386
Mailing address
1402 N CORINTH ST STE 112, CORINTH, TX 76208-5445
(940) 595-9152
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346307915
NPPES
—
Enumeration date
10/29/2019
Last updated
10/29/2019
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