Dr. Kenneth Terrell Washington, Ph.D
Psychologist, Counseling in Homewood, IL. Individual provider (NPI-1).
NPI number1295326668
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1295326668
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Terrell Washington
- Credential
- Ph.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2021
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | IL | Yes |
Practice location
18237 Kedzie AveHomewood, IL 60430-1411
Phone 708-433-9779
Mailing address
18237 Kedzie AveHomewood, IL 60430-1411
Phone 708-433-9779
Other practice locations
8 E 9th St Apt 603
Chicago, IL 60605-4507
Chicago, IL 60605-4507
Phone 708-433-9779
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