Provider Demographics
NPI:1639702889
Name:KENNERY, MEGHAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:KENNERY
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3419
Mailing Address - Country:US
Mailing Address - Phone:401-213-5599
Mailing Address - Fax:
Practice Address - Street 1:405 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-3419
Practice Address - Country:US
Practice Address - Phone:401-213-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01834103TC0700X
MA11292103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical