Organization
KATHLEEN A. MACK, PSY.D,. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN A. MACK PSY.D. (PRESIDENT)
(513) 771-8555
Entity
Organization
Contact information
Practice address
8 TRIANGLE PARK DR, CINCINNATI, OH 45246-3404
(513) 771-8555
(513) 771-8556
Mailing address
PO BOX 674, LOVELAND, OH 45140-0674
(513) 771-8555
(513) 771-8556
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3898
OH
Other
Enumeration date
01/08/2008
Last updated
10/27/2010
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