Individual
DR. JACQUELYN DENISE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4755 SILVER STREAM DR, CUMMING, GA 30040-9044
(404) 723-6408
Mailing address
4755 SILVER STREAM DR, CUMMING, GA 30040-9044
(404) 723-6408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003852
GA
Other
Enumeration date
11/12/2014
Last updated
03/24/2017
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