NPI 1003053646

Robert J Kennerley PHD PA

Organisation Adult Mental Health Clinic/Center New Smyrna Beach, FL

Practice location

Address: 265 N Causeway, New Smyrna Beach, FL 32169-5239
Phone: (386) 423-9161
Fax: (386) 423-3094

Authorised official

Name: Robert John Kennerley
Title: Psychologist
Phone: (386) 423-9161

Registered specialties (2)

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence PY6507 (FL)

Other Clinic/Center providers in Florida →

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X Licence PY6507 (FL)

Registry record

NPI: 1003053646
Entity type: Organization
NPI issued: 20 Jan 2009
Record last updated: 26 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.