Diane Nicole Kennedy-amos, LPC is a
Psychologist - Counseling based in Charlotte Court House, Virginia. Diane Nicole Kennedy-amos is licensed to practice in Virginia (license number 0701004708) and her current practice location is
410 Thomas Jefferson Highway, Charlotte Court House, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 392-7049.
NPI number for Diane Nicole Kennedy-amos is 1275851891 and her current mailing address is 410 Thomas Jefferson Highway, Charlotte Court House, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275851891.
Healthcare Provider's Profile
Full Name | Diane Nicole Kennedy-amos |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 410 Thomas Jefferson Highway, Charlotte Court House, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275851891
- Provider Enumeration Date: 05/06/2010
- Last Update Date: 03/04/2011
Medical Identifiers
Medical identifiers for Diane Nicole Kennedy-amos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275851891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 0701004708 (Virginia) | Primary |
103TR0400X | Psychologist - Rehabilitation | 0812000549 (Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Nicole Kennedy-amos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Diane Nicole Kennedy-amos, LPC 410 Thomas Jefferson Highway, Charlotte Court House, VA 23923-0340 Ph: (434) 392-7049 | Diane Nicole Kennedy-amos, LPC 410 Thomas Jefferson Highway, Charlotte Court House, VA 23923-0340 Ph: (434) 392-7049 |
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