Kennedy, Mary Lynne

Kennedy, Mary Lynne is an sole proprietor health care provider with primary practice located at 21 Peace St , Providence RI 02907-1510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Kennedy, Mary Lynne can be contacted via phone (401) 456-3309.

Contact Information

Primary practice address
21 Peace St Providence RI 02907-1510
Phone: (401) 456-3309
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS00572 Rhode Island
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS00572 Rhode Island

Profile Details

NPI number 1376619239
LBN Legal business name Kennedy, Mary Lynne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Sep 27th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376619239 NPPES
Rhode Island Other PS00572 LICENSE NUMBER

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