Individual
MARY M. KENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2500 E T C JESTER BLVD STE 238, HOUSTON, TX 77008-1449
(713) 826-1587
Mailing address
7200 CAMBRIDGE ST, HOUSTON, TX 77030-4202
(713) 798-2273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040983101
—
TX
Enumeration date
10/17/2006
Last updated
11/11/2021
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