Jan Elizabeth Kennedy in Jbsa Ft Sam Houston - Clinical Neuropsychologist
Jan Elizabeth Kennedy - NPI 1235117508
Jan Elizabeth Kennedy is a Clinical Neuropsychologist in Jbsa Ft Sam Houston, Texas. Jan Elizabeth Kennedy practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jan Elizabeth Kennedy is 1235117508. The last update date is 2020-01-10.
Jan Elizabeth Kennedy's current location address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can contact this provider via phone number 2109167014 and fax number 2109163494. The mailing address for Jan Elizabeth Kennedy is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jan Elizabeth Kennedy |
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Address | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Phone Number | 2109167014 |
Fax Number | 2109163494 |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1235117508 |
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Provider Enumeration Date | 2006-01-05 |
Last Updated Date | 2020-01-10 |
Provider Mailing Address Detail
Address | 3551 Roger Brooke Dr |
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City | Jbsa Ft Sam Houston |
State | Texas (TX) |
Post Code | 782344504 |
Phone Number | 2109167014 |
Fax Number | 2109163494 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neuropsychologist |
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Taxonomy | 103G00000X |
Licence No | 24866 |
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identification code issued to Jan Elizabeth Kennedy by the Centers for Medicare & Medicaid Services?
The Jan Elizabeth Kennedy has been assigned the NPI (National Provider Identifier) 1235117508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jan Elizabeth Kennedy?
The Jan Elizabeth Kennedy is physically situated at 3551 Roger Brooke Dr, in the city of Jbsa Ft Sam Houston, state of TX, with the postal code 782344504.
What is the Jan Elizabeth Kennedy's specialty and taxonomy code?
The Jan Elizabeth Kennedy's specialty is Clinical Neuropsychologist, and the corresponding taxonomy code is 103G00000X.
On what date did the Jan Elizabeth Kennedy receive the assignment of its 1235117508 from the Centers for Medicare & Medicaid Services?
The Jan Elizabeth Kennedy was issued its 1235117508 by the Centers for Medicare & Medicaid Services on 2006-01-05.
When was the Jan Elizabeth Kennedy's information last updated?
The Jan Elizabeth Kennedy's information was last updated on 2020-01-10.