Individual
A MACKENZIE BARICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
4985 SEARLS DR NW, NORTH CANTON, OH 44720-7464
(740) 345-9197
Mailing address
1479 W QUAIL RUN DR, NEWARK, OH 43055-9276
(740) 973-3774
(877) 850-4646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6413
OH
Other
Enumeration date
08/26/2008
Last updated
09/25/2008
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