Individual
DR. PARKER KENNEDY REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
048.0128109
VT
103TC0700X
Clinical Psychologist
1000547
DC
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
06/22/2009
Last updated
04/25/2017
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