Individual
DR. CLIVE DALE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1672 W AVENUE J STE 207, LANCASTER, CA 93534-2861
(661) 943-3871
Mailing address
1672 W AVENUE J STE 207, LANCASTER, CA 93534-2861
(661) 943-3871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 8011
CA
103TF0200X
Forensic Psychologist
Primary
PSY 8011
CA
Other
Enumeration date
03/03/2007
Last updated
09/11/2025
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