Healthcare Provider Details

I. General information

NPI: 1699608794
Provider Name (Legal Business Name): JULIE KENNEDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 W OAKLAND AVE STE 315
DOYLESTOWN PA
18901-4214
US

IV. Provider business mailing address

70 W OAKLAND AVE STE 315
DOYLESTOWN PA
18901-4214
US

V. Phone/Fax

Practice location:
  • Phone: 267-884-5762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: