MEDICARE: LAURA E KENEALY PHD

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
1	103TC2200X	Clinical Child & Adolescent Psychologist	PSY1000219	DC
2	103G00000X	Clinical Neuropsychologist	PSY1000219	DC

General Provider Information

NPI Number	:	1750461331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA E KENEALY PHD

Provider Business Mailing Address
First Line	:	111 MICHIGAN AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2916
Country	:	US
Telephone Number	:	202-884-5995
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MICHIGAN AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2978
Country	:	US
Telephone Number	:	202-884-5995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	01/06/2026

Similar Medicare Providers

1518935451 — DR. GEETANJALI SRIVASTAVA MD
Practice Location Address:

111 MICHIGAN AVE NW , CHILDREN'S NATIONAL MEDICAL CENTER
WASHINGTON, DC
20010-2978

Practice Phone: 202-884-4177
Practice Fax:

1750441531 — MS. LESLIE A PHILLIPS CPNP
Practice Location Address:

111 MICHIGAN AVE NW
WASHINGTON, DC
20010-2978

Practice Phone: 202-884-5671
Practice Fax:

1477560233 — DR. YVETTE S. YOUNG MD
Practice Location Address:

111 MICHIGAN AVENUE , DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE
WASHINGTON, DC
20010-2978

Practice Phone: 202-476-4177
Practice Fax:

1518908367 — DR. SABAH FATIMA IQBAL RANA M.D.
Practice Location Address:

111 MICHIGAN AVE NW
WASHINGTON, DC
20010-2978

Practice Phone: 202-884-5203
Practice Fax:

1518965284 — JANELLE VAUGHNS MD
Practice Location Address:

111 MICHIGAN AVE NW
WASHINGTON, DC
20010-2978

Practice Phone: 202-884-2025
Practice Fax: 202-884-5999

1417957879 — DR. KELLY D. STONE M.D., PH.D.
Practice Location Address:

111 MICHIGAN AVE NW , 111 MICHIGAN AVENUE, NW
WASHINGTON, DC
20010-2978

Practice Phone: 202-884-4013
Practice Fax:

Directions to “ LAURA E KENEALY PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.