Individual
DR. JONATHAN H. MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
800 DENOW RD STE S, PENNINGTON, NJ 08534-5246
(609) 890-8844
(609) 890-8817
Mailing address
800 DENOW RD STE S, PENNINGTON, NJ 08534-5246
(609) 890-8844
(609) 890-8817
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00232100
NJ
103G00000X
Clinical Neuropsychologist
S102321
NJ
Other
Enumeration date
12/19/2006
Last updated
11/05/2018
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