| M.j. Kennedy, Ph.d. Incorporated | |
|
16846 Royal Crest Dr Houston TX 77058-2529 | |
| (281) 480-9291 | |
| (281) 218-6116 |
| Full Name | M.j. Kennedy, Ph.d. Incorporated |
|---|---|
| Speciality | Psychologist |
| Location | 16846 Royal Crest Dr, Houston, Texas |
| Authorized Official Name and Position | Martha J Kennedy (OWNER) |
| Authorized Official Contact | 2814809291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M.j. Kennedy, Ph.d. Incorporated 16846 Royal Crest Dr Houston TX 77058-2529 Ph: (281) 480-9291 | M.j. Kennedy, Ph.d. Incorporated 16846 Royal Crest Dr Houston TX 77058-2529 Ph: (281) 480-9291 |
| NPI Number | 1184818965 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184818965 | NPI | - | NPPES |
| 100040801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 22127 (Texas) | Primary |
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