Kennedy, Sandra

Kennedy, Sandra is an individual health care provider with primary practice located at 5154 Snyder Ln , Rohnert Park CA 94928-2943. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kennedy, Sandra can be contacted via phone (707) 588-5600.

Contact Information

Primary practice address
5154 Snyder Ln Rohnert Park CA 94928-2943
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11572 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 133631 California

Profile Details

NPI number 1720807324
LBN Legal business name Kennedy, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2024
Last updated Oct 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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