Kenis, David R.
Kenis, David R. is an individual health care provider with primary practice located at 601 Wall St , Valparaiso IN 46383-2512. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Kenis, David R. can be contacted via phone (219) 531-3500.Contact Information
Primary practice address
601 Wall St
Valparaiso IN 46383-2512
Phone: (219) 531-3500
Fax: (219) 462-3975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20040382 | Indiana |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20040382 | Indiana |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Behavioral Health & Social Service Providers / Family | 103TF0000X | ||
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | ||
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X |
Profile Details
| NPI number | 1023007853 |
|---|---|
| LBN Legal business name | Kenis, David R. |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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