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NPI Code Detail

MEDICARE: NANCY A KENNEDY PSYD

MEDICARE: NANCY A KENNEDY PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPS005727LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215935861
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY A KENNEDY PSYD
Provider Business Mailing Address
First Line : 4 ALLEGHENY CTR FL 8
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-5255
Country : US
Telephone Number : 412-330-4000
Fax Number : 412-330-4366
Provider Business Practice Location Address
First Line : 4 ALLEGHENY CTR FL 8
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-5255
Country : US
Telephone Number : 412-330-4000
Fax Number : 412-330-4366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 10/13/2020

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Directions to “ NANCY A KENNEDY PSYD” Practice Location

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