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Robert J Kennerley Phd Pa
Adolescent and Children Mental Health Clinic/Center in New Smyrna Beach, Florida
NPI 1003053646

Robert J Kennerley Phd Pa is an Adolescent and Children Mental Health Clinic/Center based in New Smyrna Beach, FL and is specialized in Adolescent and Children Mental Health. Robert J Kennerley Phd Pa practices in New Smyrna Beach, FL. The NPI Number for Robert J Kennerley Phd Pa is 1003053646 and holds a License No. PY6507 (Florida).

The current practice location address for Robert J Kennerley Phd Pa is 265 N Causeway, New Smyrna Beach, FL and can be reached out via phone at 386-423-9161 and via fax at 386-423-3094.

Location: 265 N Causeway, New Smyrna Beach, FL, 32169-5239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003053646
Provider Name
Robert J Kennerley Phd Pa
Credential
Provider Entity Type
Organization
Address
265 N Causeway, New Smyrna Beach, FL, 32169-5239
Phone Number
386-423-9161
Fax Number
386-423-3094
Provider Enumeration Date
01/20/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
265 N Causeway
City
New Smyrna Beach
State
Florida
Zip
32169-5239
Phone Number
386-423-9161
Fax Number
386-423-3094
person
Provider Business Mailing Address Details
Address
265 N Causeway
City
New Smyrna Beach
State
Florida
Zip
32169-5239
Phone Number
386-423-9161
Fax Number
386-423-3094
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
PY6507 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
PY6507 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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