Robert J Kennerley PHD PA

NPI #1003053646 in New Smyrna Beach, Florida

Provider Information

NPI Number
1003053646
Entity Type
Organization
Organization Name
Robert J Kennerley PHD PA
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Jan 20, 2009
Last Updated
Aug 26, 2010

Practice Location

Address
265 N CAUSEWAY
State
Florida
ZIP Code
32169-5239
Phone
(386) 423-9161

Authorized Official

Name
ROBERT JOHN KENNERLEY, PHD
Title
PSYCHOLOGIST
Phone
(386) 423-9161

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Adult Mental HealthAdult Mental Health

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