ROBERT J KENNERLEY PHD PA
Ambulatory Health at Cswy, New Smyrna, FL

License number
Florida PY6507
Category
Ambulatory Health
Type
Adult Mental Health
License number
Florida PY6507
Category
Ambulatory Health
Type
Adolescent and Children Mental Health
Owner
Name: ROBERT JOHN KENNERLEY PHD
Title: PSYCHOLOGIST
Phone: (386) 423-9161
Address
Address
265 Causeway N, New Smyrna, FL 32169
National Provider ID: 1003053646
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Robert J. Kennerley, PH.D., PA

4509 Saxon Dr, New Smyrna, FL 32169

Industry:
Business Services at Non-Commercial Site
Registration:
Jul 3, 2006
State ID:
P06000088934
Business type:
Domestic for Profit Corporation
President, Secretary:
Robert J. Kennerley (President, Secretary)

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