| Kennridge Psychological Associates | |
|
6065 Roswell Road Suite 725 Sandy Springs GA 30328-4043 | |
| (770) 956-9213 | |
| (770) 956-9218 |
| Full Name | Kennridge Psychological Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6065 Roswell Road, Sandy Springs, Georgia |
| Authorized Official Name and Position | Charles A. Jenkins (PRESIDENT) |
| Authorized Official Contact | 7709569213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennridge Psychological Associates 6065 Roswell Rd Suite 725 Sandy Springs GA 30328-4043 Ph: (770) 956-9213 | Kennridge Psychological Associates 6065 Roswell Road Suite 725 Sandy Springs GA 30328-4043 Ph: (770) 956-9213 |
| NPI Number | 1780716258 |
|---|---|
| Provider Enumeration Date | 03/11/2007 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780716258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1582 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3552 (Georgia) | Primary |
| 106H00000X | Marriage & Family Therapist | 818 (Georgia) | Secondary |
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