Organization · Type 2 NPI
Kennedy Medical Group Practice P.c.
Prescribing (Medical) Psychologist · Blackwood, NJ
Practice location
900 Route 168, Suite C#3
Blackwood, NJ 08012-3233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Prescribing (Medical) Psychologist Primary | 103TP0016X | None listed |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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- Allison PfrommerPhysical Therapist Turnersville, NJ NPI 1225571748
About NPI 1497295109
Kennedy Medical Group Practice P.c.'s National Provider Identifier is 1497295109, issued on Feb 28, 2017. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Blackwood, NJ. The record was last updated on Feb 28, 2017.