Provider Demographics
NPI:1003126301
Name:KENDIG, REBECCA LINNEA (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LINNEA
Last Name:KENDIG
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8620 JEANNETTE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-1318
Mailing Address - Country:US
Mailing Address - Phone:504-292-1447
Mailing Address - Fax:
Practice Address - Street 1:8620 JEANNETTE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-1318
Practice Address - Country:US
Practice Address - Phone:504-292-1447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA45581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical