| Kennington And Associates, Inc. | |
|
21638 State Highway 249 Ste D Houston TX 77070-1891 | |
| (713) 201-8791 | |
| Not Available |
| Full Name | Kennington And Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 21638 State Highway 249 Ste D, Houston, Texas |
| Authorized Official Name and Position | Mary Esther Kennington (PSYCHOLOGIST) |
| Authorized Official Contact | 7132018791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennington And Associates, Inc. 21638 State Highway 249 Ste D Houston TX 77070-1891 Ph: (713) 201-8791 | Kennington And Associates, Inc. 21638 State Highway 249 Ste D Houston TX 77070-1891 Ph: (713) 201-8791 |
| NPI Number | 1841463593 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Medicare PECOS PAC ID | 4082742804 |
|---|---|
| Medicare Enrollment ID | O20100514000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841463593 | NPI | - | NPPES |
| 86830A | Other | BLUE CROSS BLUE SHIELD TX | |
| 1275628810 | Other | NPI-INDIVIDUAL | |
| 211288 | Other | WA | DEPT. LABOR & INDUST. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 25490 (Texas) | Primary |
| Provider Name | Mary Esther Kennington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275628810 PECOS PAC ID: 0648308460 Enrollment ID: I20100514000280 |
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