Kennedy, Martha J

Kennedy, Martha J is an individual health care provider with primary practice located at 16846 Royal Crest Dr , Houston TX 77058-2529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kennedy, Martha J can be contacted via phone (281) 480-9291.

Contact Information

Primary practice address
16846 Royal Crest Dr Houston TX 77058-2529
Phone: (281) 480-9291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 22127 Texas

Profile Details

NPI number 1174503247
LBN Legal business name Kennedy, Martha J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1174503247 NPPES
Texas MEDICAID 1000408-01

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