| Kennedy Psychotherapy, Pllc | |
|
4422 Pack Saddle Pass Suite 101 Austin TX 78745-1681 | |
| (512) 445-3494 | |
| Not Available |
| Full Name | Kennedy Psychotherapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4422 Pack Saddle Pass, Austin, Texas |
| Authorized Official Name and Position | Brian E Kennedy (SOLE MEMBER) |
| Authorized Official Contact | 5129658586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Psychotherapy, Pllc 4422 Pack Saddle Pass Suite 101 Austin TX 78745-1681 Ph: (512) 445-3494 | Kennedy Psychotherapy, Pllc 4422 Pack Saddle Pass Suite 101 Austin TX 78745-1681 Ph: (512) 445-3494 |
| NPI Number | 1679969414 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679969414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63604 (Texas) | Primary |
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