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
- City
- New Smyrna Beach
- 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 Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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