Individual
MACKENZIE MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
8150 E 13 MILE RD, WARREN, MI 48093-8700
(586) 825-9700
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018169
MI
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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