Rebecca Kennedy is a Psychologist in New Haven, Vermont. Rebecca Kennedy practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Rebecca Kennedy is 1639387327. The last update date is 2007-07-08.
Rebecca Kennedy's current location address is 3206 Ethan Allen Hwy, New Haven, Vermont. You can contact this provider via phone number 8027823610. The mailing address for Rebecca Kennedy is 3206 Ethan Allen Hwy, New Haven, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rebecca Kennedy |
|---|---|
| Address | 3206 Ethan Allen Hwy, New Haven, Vermont |
| Phone Number | 8027823610 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1639387327 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3206 Ethan Allen Hwy |
|---|---|
| City | New Haven |
| State | Vermont (VT) |
| Post Code | 54721040 |
| Phone Number | 8027823610 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 48-0000251 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11607495 | VT | CAQH | |
| VT 2598 | VT | -- |
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What is the unique identifier code issued to Rebecca Kennedy by the Centers for Medicare & Medicaid Services?
The Rebecca Kennedy has been assigned the NPI (National Provider Identifier) 1639387327. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Rebecca Kennedy is physically located?
The Rebecca Kennedy is situated at the following address: 3206 Ethan Allen Hwy, New Haven, VT 54721040.
What is the area of specialization for Rebecca Kennedy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Rebecca Kennedy is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Rebecca Kennedy receive its 1639387327 assignment from the Centers for Medicare & Medicaid Services?
The Rebecca Kennedy was assigned its 1639387327 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the Rebecca Kennedy's details last updated?
The information pertaining to the Rebecca Kennedy, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1699778829
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