Kowanda Tenkapowom

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1316212749

Kowanda Tenkapowom is an Intellectual & Developmental Disabilities Psychologist in Augusta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since: 2012
Specialties on file: 2

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Practice location Address checks out

3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone: (706) 432-7893
Fax: (706) 432-3780

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Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X
Intellectual & Developmental Disabilities Psychologist	Taxonomy 103TM1800X

Record details

NPI number	1316212749
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	March 19, 2012
Last updated in NPPES	March 19, 2012
Mailing address	3347 Ravenwood Dr, Augusta, GA 30907-3574