NPI 1144322827

Martha M. Kennon, PHD

Practitioner Clinical Psychologist Johnson City, TN

Practice location

Address: 119 Boone Ridge Dr Suite 201, Johnson City, TN 37615-4998
Phone: (423) 282-1480

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 293 (AL)

Other Psychologist providers in Tennessee →

Registry record

NPI: 1144322827
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2006
Record last updated: 9 May 2016

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.