Mary M. Kennedy, Psyd Llc

  • 1730490574 NPI Number
  • |
  • Actived: 9 years ago
  • |
According to our database, NPI number for Mary M. Kennedy, Psyd Llc is 1730490574 and actived since Saturday, June 26 2010. Mary M. Kennedy, Psyd Llc is an Organization provider specializes in Clinical. Provider information was last updated on 06/26/2010.

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Overview of Mary M. Kennedy, Psyd Llc

  • NPI number: 1689175101
  • Provider type: Organization
  • Specialty: Clinical
  • Active since: 06/26/2010
  • Last updated: 06/26/2010

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 20042264A
  • License State: IN

Provider Mailing Address

  • Address: 7 Napoleon St
    Valparaiso, IN 46383
  • Phone: 219-464-9000
  • Fax: 219-462-5128

Provider Practice Location

  • Address: 7 Napoleon St
    Valparaiso, IN 46383
  • Phone: 219-464-9000
  • Fax: 219-462-5128

Authorized Official

  • Name: Mary Marcellyn Kennedy PSYD HSPP
  • Position/Title: Sole Proprietor
  • Telephone Number: 219-464-9000

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 20042264A
  • License State: IN
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Mary M. Kennedy, Psyd Llc?
  • A: The npi number for Mary M. Kennedy, Psyd Llc is 1730490574.
  • Q: What are Mary M. Kennedy, Psyd Llc's specialties?
  • A: Mary M. Kennedy, Psyd Llc's specialties are Clinical and different specialities.
  • Q: Where is Mary M. Kennedy, Psyd Llc business practice location?
  • A: Mary M. Kennedy, Psyd Llc business practice location is 7 Napoleon St, Valparaiso, IN 46383.
  • Q: How to contact Mary M. Kennedy, Psyd Llc?
  • A: You can contact Mary M. Kennedy, Psyd Llc via 219-464-9000.
  • Q: What is the authorized official for Mary M. Kennedy, Psyd Llc?
  • A: The authorized office name is Mary Marcellyn Kennedy PSYD HSPP with position/title is Sole Proprietor and you can reach the authorized official via phone number 2194649000.