Individual
SELENE M MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
115 MAIN ST STE 1A-C2D, NORTH EASTON, MA 02356-1468
(781) 551-0999
Mailing address
60 WHALEN DR, NORTH ATTLEBORO, MA 02760-4521
(508) 695-2941
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS00730
RI
103TC0700X
Clinical Psychologist
Primary
PSY11838
MA
Other
Enumeration date
02/16/2007
Last updated
05/15/2024
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