National Provider Identifier
Kendra Recktenwald, PHD
Kendra Recktenwald, PHD is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 241-1599.
Profile Overview
- NPI
- 1275083008
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 05, 2016
- Last Updated
- March 19, 2018
Practice Location
- 1111 Elmwood Ave
- Rochester, NY 14620-3005
Phone: (585) 241-1599
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1275083008
- Entity Type
- Individual
- Last Name
- Recktenwald
- First Name
- Kendra
- Name Prefix
- Dr.
- Credential
- PHD
- Provider Other Last Name
- O'Connor
- Provider Other First Name
- Kendra
- Provider Other Credential Text
- PHD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1111 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3005
- Mailing Country
- US
- Mailing Phone
- (585) 241-1599
- Practice Street Address
- 1111 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3005
- Practice Country
- US
- Practice Phone
- (585) 241-1599
- Enumeration Date
- October 05, 2016
- Last Updated
- March 19, 2018
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Clinical Social Worker (1041C0700X)