Individual
JOHN M. KENDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2130 PROFESSIONAL DR STE 220, ROSEVILLE, CA 95661-3780
(916) 780-0580
(530) 622-2793
Mailing address
PO BOX 1561, PLACERVILLE, CA 95667-1561
(916) 780-0580
(530) 622-2793
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY4391
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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