Individual
MACKENZIE LYNN SHAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
7203 E US HIGHWAY 36, AVON, IN 46123-7967
(317) 544-6000
Mailing address
1292 BIRCHWOOD WAY, GREENWOOD, IN 46143-7342
(317) 413-9093
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
000039132
IN
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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