Mary Lynne Kennedy in Providence - Clinical Neuropsychologist
Mary Lynne Kennedy - NPI 1376619239
Mary Lynne Kennedy is a Clinical Neuropsychologist in Providence, Rhode Island. Mary Lynne Kennedy practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Mary Lynne Kennedy is 1376619239. The last update date is 2007-09-27.
Mary Lynne Kennedy's current location address is 21 Peace St, Providence, Rhode Island. You can contact this provider via phone number 4014563309. The mailing address for Mary Lynne Kennedy is 21 Peace St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lynne Kennedy |
|---|---|
| Address | 21 Peace St, Providence, Rhode Island |
| Phone Number | 4014563309 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376619239 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 21 Peace St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29071510 |
| Phone Number | 4014563309 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PS00572 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PS00572 | RI | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Mary Lynne Kennedy by the Centers for Medicare & Medicaid Services?
The Mary Lynne Kennedy has been issued the NPI (National Provider Identifier) 1376619239. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary Lynne Kennedy's physical address?
The Mary Lynne Kennedy is physically located at 21 Peace St, in the city of Providence, RI, with the postal code 29071510.
What is Mary Lynne Kennedy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Lynne Kennedy is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
When did Mary Lynne Kennedy receive its 1376619239 assignment?
The Mary Lynne Kennedy was assigned its 1376619239 on 2006-11-24, which is the date when this unique identifier was issued to the organization.
When was the information related to Mary Lynne Kennedy most recently updated or refreshed?
The details pertaining to the Mary Lynne Kennedy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-27.