| Dr Kendra Leeann Laconsay, PSYD | |
|
30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, AL 36527-7631 | |
| (251) 586-1009 | |
| Not Available |
| Full Name | Dr Kendra Leeann Laconsay |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639224744 | NPI | - | NPPES |
| 000098834 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1055 (Alabama) | Primary |
| Entity Name | American Autism & Rehabilitation Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477955417 PECOS PAC ID: 5698092419 Enrollment ID: O20150316001298 |
| Entity Name | Sunshine Behavioral Health Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952813503 PECOS PAC ID: 5991106296 Enrollment ID: O20210624000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kendra Leeann Laconsay, PSYD 30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, AL 36527-7631 Ph: (251) 586-1009 | Dr Kendra Leeann Laconsay, PSYD 30466 Sgt E I Boots Thomas Dr Ste 208, Spanish Fort, AL 36527-7631 Ph: (251) 586-1009 |
Dr. John P Kline, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30895 Joseph Dr, Spanish Fort, AL 36527 Phone: 251-631-0597 Fax: 251-460-4586 |