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Individual

DR. MARY JOY MCMACHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6492 PEMBROOK DR, WESTLAND, MI 48185-7760
(734) 595-8077
(845) 230-3285
Mailing address
6492 PEMBROOK DR, WESTLAND, MI 48185-7760
(734) 595-8077
(845) 230-3285

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007147
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
680H24746
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/13/2006
Last updated
07/08/2007
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