Clive Dale Kennedy in Lancaster - Clinical
Clive Dale Kennedy - NPI 1841329232
Clive Dale Kennedy is a Clinical in Lancaster, California. Clive Dale Kennedy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clive Dale Kennedy is 1841329232. The last update date is 2007-07-08.
Clive Dale Kennedy's current location address is 1672 W Avenue J Ste 207, Lancaster, California. You can contact this provider via phone number 6619433871. The mailing address for Clive Dale Kennedy is 1672 W Avenue J Ste 207, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clive Dale Kennedy |
|---|---|
| Address | 1672 W Avenue J Ste 207, Lancaster, California |
| Phone Number | 6619433871 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1841329232 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1672 W Avenue J Ste 207 |
|---|---|
| City | Lancaster |
| State | California (CA) |
| Post Code | 935342861 |
| Phone Number | 6619433871 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 8011 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clive Dale Kennedy by the Centers for Medicare & Medicaid Services?
The Clive Dale Kennedy has been issued the NPI (National Provider Identifier) 1841329232, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clive Dale Kennedy is physically located?
The Clive Dale Kennedy is physically situated at the following address: 1672 W Avenue J Ste 207, Lancaster, CA, 935342861.
What is the area of specialization for Clive Dale Kennedy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clive Dale Kennedy is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Clive Dale Kennedy receive the assignment of its 1841329232 from the Centers for Medicare & Medicaid Services?
The Clive Dale Kennedy was issued its 1841329232 by the Centers for Medicare & Medicaid Services on 2007-03-03.
As of what date was the information pertaining to Clive Dale Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Clive Dale Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.