Individual
MARY M KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD HSPP
Contact information
Practice address
7 NAPOLEON ST, VALPARAISO, IN 46383-4725
(219) 464-9000
Mailing address
7 NAPOLEON ST, VALPARAISO, IN 46383-4725
(219) 464-9000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042264A
IN
Other
Enumeration date
07/23/2008
Last updated
05/17/2010
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