Provider Demographics
NPI:1104959543
Name:KENNEDY, RHONDA BRINKLEY (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:BRINKLEY
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:24307 MAGIC MOUNTAIN PKWY # 270
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3402
Mailing Address - Country:US
Mailing Address - Phone:323-446-4311
Mailing Address - Fax:661-349-4633
Practice Address - Street 1:24307 MAGIC MOUNTAIN PKWY # 270
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3402
Practice Address - Country:US
Practice Address - Phone:323-446-4311
Practice Address - Fax:661-349-4633
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA060193975103TS0200X
CAMFC 24823106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool