Active NPIIndividual providerSole proprietor

Julie M Mack, PHD PSYCHOLOGY

Psychologist, Clinical in Hanover, Massachusetts

NPI Number1306912415
Practice location
24 Rockland St, Unit 7 Hanover Psychological Associates, Hanover, MA 02339-2226
Fax
781-826-0965
Last updated
September 29, 2011

Julie M Mack is a Psychologist, Clinical based in Hanover, MA. Julie M Mack practices in Hanover, MA and has the professional credentials of PHD PSYCHOLOGY. The NPI Number for Julie M Mack is 1306912415 and holds a License No. 3769 (MA). The current practice location address for Julie M Mack is 24 Rockland St, Unit 7 Hanover Psychological Associates, Hanover, MA 02339-2226 and can be reached out via phone at 781-826-8228 and via fax at 781-826-0965.

Provider Profile Details

NPI Number
1306912415
Provider Name
Julie M Mack
Credential
PHD PSYCHOLOGY
Provider Entity Type
Individual
Gender
Female
Address
24 Rockland St, Unit 7 Hanover Psychological Associates, Hanover, MA 02339-2226
Phone Number
781-826-8228
Fax Number
781-826-0965
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 28, 2006
Last Update Date
September 29, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Rockland St
Unit 7 Hanover Psychological Associates
Hanover, MA 02339-2226
Zip
02339-2226
Phone Number
781-826-8228
Fax Number
781-826-0965
Hanover, MA 02339Get directions →

Provider Business Mailing Address Details

Address
24 Rockland St
Unit 7 Hanover Psychological Associates
Hanover, MA 02339-2226
City
Hanover
State
MA
Zip
02339-2226
Phone Number
781-826-8228
Fax Number
781-826-0965

License Information

License Number (1)
3769
License State (1)
MA
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
3679
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
License Number (3)
3769
License State (3)
MA
Taxonomy (3)
Psychologist, Forensic · 103TF0200X
License Number (4)
B769
License State (4)
MA
Taxonomy (4)
Psychologist, Cognitive & Behavioral · 103TB0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Julie M Mack, PHD PSYCHOLOGY?

The NPI number of Julie M Mack, PHD PSYCHOLOGY is 1306912415. It was assigned on November 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Julie M Mack, PHD PSYCHOLOGY?

Julie M Mack, PHD PSYCHOLOGY is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3769.

Where does Julie M Mack, PHD PSYCHOLOGY practice?

The practice location is 24 Rockland St, Unit 7 Hanover Psychological Associates, Hanover, MA 02339-2226. The office can be reached at 781-826-8228 (phone) or 781-826-0965 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306912415 directly on the NPPES registry website.

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