Organization
KENNRIDGE PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A. JENKINS PSY.D (PRESIDENT)
(770) 956-9213
Entity
Organization
Contact information
Practice address
6065 ROSWELL ROAD, SUITE 725, SANDY SPRINGS, GA 30328-4043
(770) 956-9213
(770) 956-9218
Mailing address
6065 ROSWELL RD, SUITE 725, SANDY SPRINGS, GA 30328-4043
(770) 956-9213
(770) 956-9218
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1582
GA
103TC0700X
Clinical Psychologist
Primary
3552
GA
106H00000X
Marriage & Family Therapist
818
GA
Other
Enumeration date
03/11/2007
Last updated
05/14/2012
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