SearchCalifornia1041C0700X

Peter Kennedy, LCSW

NPI 1821221250 · on the registry since 2009

Practice

Address
9500 Haven Ave
Rancho Cucamonga, CA 91730
Phone
(909) 433-1276
Organisation at this address
Elea Care Inc
South Coast Children'S Society, Inc
South Coast Children'S Society, Inc
South Coast Children'S Society, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
161

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101Y00000X
Licence states on file
NM, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California