Individual provider · Type 1 NPI

Theresa Wagner Kennedy, LCSW

Psychologist · Oakhurst, CA

NPI number 1952431678 Active

Practice location

40459 Hwy 41, Ste 5
Oakhurst, CA 93644

Fax (559) 642-0673

Mailing address

PO Box 1667
Oakhurst, CA 93644

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLCS10602 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1952431678

Theresa Wagner Kennedy, LCSW's National Provider Identifier is 1952431678, issued on Mar 6, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Oakhurst, CA. The record was last updated on Jul 8, 2007.