Dr. Susan M Mackinnon, PSYD
Psychologist in Metuchen, New Jersey
1922103050- Practice location
- 328 Amboy Ave, Metuchen, NJ 08840-2456
- Phone
- 732-906-6371
- Fax
- 732-846-8712
- Last updated
- July 8, 2007
Susan Mary Mackinnon is a Psychologist based in Metuchen, NJ. Susan Mary Mackinnon practices in Metuchen, NJ and has the professional credentials of PSYD. The NPI Number for Susan Mary Mackinnon is 1922103050 and holds a License No. 35S100281800 (NJ). The current practice location address for Susan Mary Mackinnon is 328 Amboy Ave, Metuchen, NJ 08840-2456 and can be reached out via phone at 732-906-6371 and via fax at 732-846-8712.
Provider Profile Details
- NPI Number
- 1922103050
- Provider Name
- Susan Mary Mackinnon
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 328 Amboy Ave, Metuchen, NJ 08840-2456
- Phone Number
- 732-906-6371
- Fax Number
- 732-846-8712
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 328 Amboy Ave
Metuchen, NJ 08840-2456 - City
- Metuchen
- State
- New Jersey
- Zip
- 08840-2456
- Phone Number
- 732-906-6371
- Fax Number
- 732-846-8712
Provider Business Mailing Address Details
- Address
- 264 Grant Ave
Highland Park, NJ 08904-1810 - City
- Highland Park
- State
- NJ
- Zip
- 08904-1810
- Phone Number
- 732-628-0919
- Fax Number
- 732-846-8712
License Information
- License Number
- 35S100281800
- License State
- NJ
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Susan M Mackinnon, PSYD?
The NPI number of Dr. Susan M Mackinnon, PSYD is 1922103050. It was assigned on September 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Susan M Mackinnon, PSYD?
Dr. Susan M Mackinnon, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35S100281800.
Where does Dr. Susan M Mackinnon, PSYD practice?
The practice location is 328 Amboy Ave, Metuchen, NJ 08840-2456. The office can be reached at 732-906-6371 (phone) or 732-846-8712 (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 1922103050 directly on the NPPES registry website.