Kennedy, Traci Michelle

Kennedy, Traci Michelle is an individual health care provider with primary practice located at 3811 Ohara St , Pittsburgh PA 15213-2561. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kennedy, Traci Michelle can be contacted via phone (412) 246-6087.

Contact Information

Primary practice address
3811 Ohara St Pittsburgh PA 15213-2561
Phone: (412) 246-6087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS017718 Pennsylvania

Profile Details

NPI number 1891130480
LBN Legal business name Kennedy, Traci Michelle
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2013
Last updated Sep 5th, 2021 - about 4 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.

Request for update

Popular Providers