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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICHARD C. KENNERLY, PH.D.

Active Sole Proprietor

RICHARD C. KENNERLY, PH.D. is a Clinical Neuropsychologist healthcare provider located in CONCORD, North Carolina. NPI 1992959761 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · CONCORD, NC

Registration Details

NPI Number
1992959761
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2008 (17.813834636263 yrs)
Last Updated
Dec 16, 2019
Licenses
PSY 22288 (CA)
4561 (NC)
PSY 22288 (CA)
4561 (NC)
PSY22288 (CA)
Sole Proprietor
Yes

Practice Information

Address
170 DAVIDSON HWY STE 201
CONCORD, NC, 280274255
Browse NC providers · Browse ZIP 28027
Phone
7046593541
Fax
8889773202
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Psychologist
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Neuropsychologist Providers in CONCORD, NC

Name Credential NPI
KATHARINE ELIZABETH LINDBERG PHD 1578292124
ANDREW BRAUER MCGRATH PHD 1720866155
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.