Individual
DR. CHARLES REED KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
112 HOLLAND AVE, ALBANY, NY 12208-3404
(518) 626-5000
Mailing address
112 HOLLAND AVE, ALBANY, NY 12208
(518) 626-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013371-1
NY
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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