Individual provider · Type 1 NPI
Mary Theresa Kennedy, PhD
Clinical Psychologist · Bayside, NY
Practice location
217-04 Northern Blvd, Ste 16
Bayside, NY 11361-3500
Mailing address
218-11 Horace Harding Blvd
Bayside, NY 11364-2211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 00760201 (NY) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1861479636
Mary Theresa Kennedy, PhD's National Provider Identifier is 1861479636, issued on Dec 22, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Bayside, NY. The record was last updated on Sep 3, 2010.