| Dr Jennifer D Kennedy, PSYD | |
|
5120 Nuthatch Ct Ne, Lacey, WA 98516-4528 | |
| (360) 890-0694 | |
| Not Available |
| Full Name | Dr Jennifer D Kennedy |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 5120 Nuthatch Ct Ne, Lacey, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548823917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY60869052 (Washington) | Primary |
| Entity Name | Wagaman Enterprises Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740461854 PECOS PAC ID: 0345388641 Enrollment ID: O20100614000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer D Kennedy, PSYD 5120 Nuthatch Ct Ne, Lacey, WA 98516-4528 Ph: (360) 890-0694 | Dr Jennifer D Kennedy, PSYD 5120 Nuthatch Ct Ne, Lacey, WA 98516-4528 Ph: (360) 890-0694 |
Dr. William Jeffrey Crinean, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 677 Woodland Square Loop Se # 14, Lacey, WA 98503 Phone: 360-451-0279 Fax: 360-295-4589 | |
Dr. Nina F. Shecter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 677 Woodland Square Loop Se # B3, Lacey, WA 98503 Phone: 360-250-8422 Fax: 360-628-8565 | |
Curtis Hileman, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1322 Boone St Se, Lacey, WA 98503 Phone: 360-820-2862 | |
Timothy Richel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6145 37th Ln Se, Lacey, WA 98503 Phone: 509-339-5940 | |
Eric Crispen Steese, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4200 14th Ave Se, Lacey, WA 98503 Phone: 360-491-8018 Fax: 360-491-7356 | |
Manvi Smith, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516 Phone: 360-413-4200 | |
Dr. Robin Hanson Ballard, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4313 6th Ave Se Ste C, Lacey, WA 98503 Phone: 206-910-5025 |