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Contact Information

KENNEDY MEDICAL GROUP P.C.
707 HADDONFIELD BERLIN RD
VOORHEES TOWNSHIP, NJ08043-3714
 Phone: 856-857-6920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENNEDY MEDICAL GROUP PC · (Female)

NPI Number 1609314004
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2017
Last updated 02/09/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 0411248
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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