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DR. KERRI JANINE KENNARD PH.D.

Clinical Neuropsychologist

Seaford, Delaware

Provider NPI: 1003944760

Provider Information:
DR. KERRI JANINE KENNARD PH.D.
Gender: F
Sole Proprietor


Practice Location:
26876 SUSSEX HWY UNIT 2 SEAFORD, DE 19973 US
Tel: 302-628-8740  Fax: 302-628-8760

Business Mailing Address:
PO BOX 576  SEAFORD, DE 19973 US
Tel: 302-628-8740  Fax: 302-682-8760

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
DEB1-0000440
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
DEB1-0000440

Other Provider Identifiers:

IssuerNumberStateType
DPCI PIN100035675DE01
1000037339DE05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS DE - Page 1



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