| Shenandoah Psychological Services, Llc | |
|
58 Kenmore St Harrisonburg VA 22801-4338 | |
| (540) 251-7728 | |
| Not Available |
| Full Name | Shenandoah Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 58 Kenmore St, Harrisonburg, Virginia |
| Authorized Official Name and Position | Cassandra Kennell (CEO) |
| Authorized Official Contact | 5402517728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Psychological Services, Llc 58 Kenmore St Harrisonburg VA 22801-4338 Ph: (540) 251-7728 | Shenandoah Psychological Services, Llc 58 Kenmore St Harrisonburg VA 22801-4338 Ph: (540) 251-7728 |
| NPI Number | 1851717078 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851717078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004930 (Virginia) | Primary |
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