Kenneth Mckenna, Phd Llc | |
1402 N Corinth St Ste 112 Corinth TX 76208-5445 | |
(940) 595-9152 | |
(940) 279-1386 |
Full Name | Kenneth Mckenna, Phd Llc |
---|---|
Speciality | Psychologist |
Location | 1402 N Corinth St Ste 112, Corinth, Texas |
Authorized Official Name and Position | Kenneth Allen Mckenna (PSYCHOLOGIST) |
Authorized Official Contact | 9405959152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenneth Mckenna, Phd Llc 1402 N Corinth St Ste 112 Corinth TX 76208-5445 Ph: (940) 595-9152 | Kenneth Mckenna, Phd Llc 1402 N Corinth St Ste 112 Corinth TX 76208-5445 Ph: (940) 595-9152 |
NPI Number | 1679117055 |
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Provider Enumeration Date | 10/29/2019 |
Last Update Date | 10/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679117055 | NPI | - | NPPES |
1346307915 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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