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Organization

MARY M. KENNEDY, PSYD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY MARCELLYN KENNEDY PSYD HSPP (SOLE PROPRIETOR)
(219) 464-9000
Entity
Organization

Contact information

Practice address
7 NAPOLEON ST, VALPARAISO, IN 46383-4725
(219) 464-9000
(219) 462-5128
Mailing address
7 NAPOLEON ST, VALPARAISO, IN 46383-4725
(219) 464-9000
(219) 462-5128

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042264A
IN

Other

Enumeration date
06/26/2010
Last updated
06/26/2010
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