BETH DOHONEY KENNARD PSYD
Clinical Neuropsychologist
Dallas, Texas
Provider NPI: 1043272800
Provider Information:BETH DOHONEY KENNARD PSYD
Gender: F
Not Sole Proprietor
Practice Location:
1935 MEDICAL DISTRICT DR DALLAS, TX 75235 US
Tel: 214-645-0624 Fax: 214-645-0078
Business Mailing Address:
PO BOX 845347 DALLAS, TX 75284 US
Tel: 214-645-0624 Fax: 214-645-0078
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TX | 30409 |
Y | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | TX | 23081 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
038854802 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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