Doctor Name: | KAREN KENNEDY |
NPI Number: | 1073848222 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 9 College St Suite 6 South Hadley, MA - 010751421 |
Business Phone Number: | 4135347400 |
Business Fax Number: | 4135347483 |
Mailing Address: | 9 College St, Suite 6 SOUTH HADLEY |
State: | MA |
Postal Code: | 010751421 |
Phone Number: | 4135347400 |
Fax Number: | 4135347483 |
NPI Enumeration Date: | 10/06/2009 |
NPI Last Update Date: | 10/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |