Individual
MACKENZIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4555
(781) 551-0999
Mailing address
625 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4555
(781) 551-0999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000234
MA
Other
Enumeration date
12/10/2019
Last updated
03/13/2024
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