Individual
DR. JENETTE LYNN MACK-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(302) 633-5364
Mailing address
113 COUNTRY CLUB DR, NEWARK, DE 19711-2736
(302) 294-1666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
B1-0000800
DE
103TC0700X
Clinical Psychologist
Primary
0810003881
VA
Other
Enumeration date
11/30/2008
Last updated
11/30/2008
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