Doctor Name: | DR. KERRY KENNEDY-PRESSEY |
NPI Number: | 1134393341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, LCSW |
License Number: | 5998213-3501 |
Business Practice Address: | 391 S State St Clearfield, UT - 840151728 |
Business Phone Number: | 8017768670 |
Business Fax Number: | 8017768673 |
Mailing Address: | 391 S State St, CLEARFIELD |
State: | UT |
Postal Code: | 840151728 |
Phone Number: | 8017768670 |
Fax Number: | 8017768673 |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5998213-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |