Diane Nicole Kennedy-Amos
Counseling Psychologist Rehabilitation Psychologist
410 Thomas Jefferson Highway
Charlotte Court House
, Virginia 23923-0340
Diane Nicole Kennedy-Amos
Counseling Psychologist Rehabilitation Psychologist
410 Thomas Jefferson Highway
Charlotte Court House
, Virginia 23923-0340
(434) 392-9221
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About
Features
Specialties
- Counseling Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Diane Nicole Kennedy-Amos
- 410 Thomas Jefferson Highway
- Charlotte Court House, VA
- Zip : 23923-0340
- Fax : (434) 392-9221
- Phone : (434) 392-7049
Second Address
- Diane Nicole Kennedy-Amos
- 410 Thomas Jefferson Highway
- Charlotte Court House, VA
- Zip : 23923-0340
- Fax : (434) 392-9221
- Phone : (434) 392-7049
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 0701004708 | VA |
| N | 103TR0400X | Rehabilitation Psychologist | 0812000549 | VA |
National Provider Identifier
| NPI | 1275851891 |
|---|---|
| Provider Name | Diane Nicole Kennedy-Amos |
| First Address | Charlotte Court House, VA 23923-0340 |
| Second Address | Charlotte Court House, VA 23923-0340 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2010 |
| Last Update Date | 04/03/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.