Individual provider · Type 1 NPI
Kenwana Michelle Vanderbilt, PSY.D.
Clinical Psychologist · Macon, GA
Practice location
Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B
Macon, GA 31220
Fax (478) 476-8161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY003494 (GA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1174864979
Kenwana Michelle Vanderbilt, PSY.D.'s National Provider Identifier is 1174864979, issued on Mar 5, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Macon, GA. The record was last updated on Mar 9, 2016.