Mrs Theresa Wagner Kennedy, LCSW is a
Psychologist based in Oakhurst, California. Mrs Theresa Wagner Kennedy is licensed to practice in California (license number LCS10602) and her current practice location is
40459 Hwy 41, Ste 5, Oakhurst, California. She can be reached at her office (for appointments etc.) via phone at
(559) 683-3657.
NPI number for Mrs Theresa Wagner Kennedy is 1952431678 and her current mailing address is Po Box 1667, Oakhurst, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952431678.
Healthcare Provider's Profile
Full Name | Mrs Theresa Wagner Kennedy |
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Gender | Female |
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Speciality | Psychologist |
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Location | 40459 Hwy 41, Oakhurst, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952431678
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Theresa Wagner Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952431678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LCS10602 (California) | Primary |
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. Mrs Theresa Wagner Kennedy 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 |
Mrs Theresa Wagner Kennedy, LCSW Po Box 1667, Oakhurst, CA 93644 Ph: (559) 683-3657 | Mrs Theresa Wagner Kennedy, LCSW 40459 Hwy 41, Ste 5, Oakhurst, CA 93644 Ph: (559) 683-3657 |
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