Ellen Kenner is a Clinical in Warwick, Rhode Island. Ellen Kenner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Kenner is 1588730311. The last update date is 2007-07-08.
Ellen Kenner's current location address is 51 Jefferson Blvd, Warwick, Rhode Island. You can contact this provider via phone number 4017850683. The mailing address for Ellen Kenner is 51 Jefferson Blvd, Warwick, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Kenner |
|---|---|
| Address | 51 Jefferson Blvd, Warwick, Rhode Island |
| Phone Number | 4017850683 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1588730311 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 51 Jefferson Blvd |
|---|---|
| City | Warwick |
| State | Rhode Island (RI) |
| Post Code | 28881002 |
| Phone Number | 4017850683 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00514 |
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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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What is the unique identification code assigned to Ellen Kenner by the Centers for Medicare & Medicaid Services?
The Ellen Kenner has been issued the NPI (National Provider Identifier) 1588730311. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ellen Kenner's facilities are geographically located?
The facilities of Ellen Kenner are physically situated at the following location: 51 Jefferson Blvd, Warwick, RI, 28881002.
What is the Ellen Kenner's specialty and taxonomy code?
The Ellen Kenner's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588730311 to Ellen Kenner?
The Centers for Medicare & Medicaid Services originally issued the 1588730311 to Ellen Kenner on 2006-11-24.
When was the information pertaining to Ellen Kenner most recently updated or revised?
The details related to Ellen Kenner, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
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