| Doctor Name: | DR. KERRI JANINE KENNARD |
| NPI Number: | 1003944760 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | B1-0000440 |
| Business Practice Address: | 26876 Sussex Hwy Unit 2 Seaford, DE - 19973 |
| Business Phone Number: | 3026288740 |
| Business Fax Number: | 3026288760 |
| Mailing Address: | Po Box 576, SEAFORD |
| State: | DE |
| Postal Code: | 199730576 |
| Phone Number: | 3026288740 |
| Fax Number: | 3026828760 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | B1-0000440 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |