DR. Timothy Alan Kennedy, PH.D., L.I.S.W.

NPI #1790830610 in Worthington, Ohio

Provider Information

NPI Number
1790830610
Entity Type
Individual
Name
DR. Timothy Alan Kennedy, PH.D., L.I.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
PH.D., L.I.S.W.
Enumeration Date
Jan 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6827 N HIGH ST
Address 2
121
State
Ohio
ZIP Code
43085-2517
Phone
(614) 436-5070

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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