Kennridge Psychological Associates

NPI #1780716258 in Sandy Springs, Georgia

Provider Information

NPI Number: 1780716258
Entity Type: Organization
Organization Name: Kennridge Psychological Associates
Primary Specialty: Psychologist - Clinical
Enumeration Date: Mar 11, 2007
Last Updated: May 14, 2012

Practice Location

Address: 6065 ROSWELL ROAD
Address 2: SUITE 725
City: Sandy Springs
State: Georgia
ZIP Code: 30328-4043
Phone: (770) 956-9213

Authorized Official

Name: DR. CHARLES A. JENKINS, PSY.D
Title: PRESIDENT
Phone: (770) 956-9213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Marriage & Family Therapist	106H00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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