Michael Shawn Kennedy, SCHOOL PSYCHOLOGIST

NPI #1306116066 in Dulce, New Mexico

Provider Information

NPI Number: 1306116066
Entity Type: Individual
Name: Michael Shawn Kennedy, SCHOOL PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: SCHOOL PSYCHOLOGIST
Enumeration Date: Jan 11, 2012
Last Updated: Jan 11, 2012

Practice Location

Address: 113 HAWK DR
City: Dulce
State: New Mexico
ZIP Code: 87528
Phone: (575) 759-3225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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