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Contact Information

MACKENZIE M OEDY, EDS
1607 DOWLING ST
KENDALLVILLE, IN46755
 Phone: 260-347-5236
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MACKENZIE M OEDY · (Female)

NPI # 1457172215
Status Active
Credentials EDS
Entity Individual
Enumeration date 10/23/2024
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 000018005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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