Individual provider · Type 1 NPI

Maureen McKenzie, CLINICIAN

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1508161464 Active

Practice location

622 State St, 622 State Street
Springfield, MA 01109-4104

Mailing address

622 State Street, Center For Human Development
Springfield, MA 01109

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508161464

Maureen McKenzie, CLINICIAN's National Provider Identifier is 1508161464, issued on Jan 24, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Jan 24, 2011.