Individual
JULIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1816 DUCHESS DR, LONGMONT, CO 80501-2034
(970) 227-2740
Mailing address
1816 DUCHESS DR, LONGMONT, CO 80501-2034
(970) 227-2740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2326
CO
Other
Enumeration date
01/19/2007
Last updated
03/06/2019
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