Individual
DR. PAULA SHANTEL ALEXIS MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3309 HAYNES AVE, MIDLAND, TX 79707-3600
(512) 535-8433
(432) 242-0982
Mailing address
3309 HAYNES AVE., MIDLAND, TX 79707
(512) 535-8433
(432) 242-0982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36397
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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