Individual
MACKENZIE GOODSPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 W BROOKHAVEN CIR, MEMPHIS, TN 38117-4503
(901) 567-5361
Mailing address
592 ELKSTONE PL W APT 202, COLLIERVILLE, TN 38017-4285
(731) 695-4282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73622
TN
Other
Enumeration date
07/09/2024
Last updated
01/15/2025
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