Search › California › 1041C0700X
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