| Mary M. Kennedy, Psyd Llc | |
|
7 Napoleon St Valparaiso IN 46383-4725 | |
| (219) 464-9000 | |
| (219) 462-5128 |
| Full Name | Mary M. Kennedy, Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7 Napoleon St, Valparaiso, Indiana |
| Authorized Official Name and Position | Mary Marcellyn Kennedy (SOLE PROPRIETOR) |
| Authorized Official Contact | 2194649000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M. Kennedy, Psyd Llc 7 Napoleon St Valparaiso IN 46383-4725 Ph: (219) 464-9000 | Mary M. Kennedy, Psyd Llc 7 Napoleon St Valparaiso IN 46383-4725 Ph: (219) 464-9000 |
| NPI Number | 1730490574 |
|---|---|
| Provider Enumeration Date | 06/26/2010 |
| Last Update Date | 06/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730490574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042264A (Indiana) | Primary |
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