Individual
DR. JAMES L MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
29017 LINCOLN RD, BAY VILLAGE, OH 44140-1942
(440) 899-1571
Mailing address
29017 LINCOLN RD, BAY VILLAGE, OH 44140-1942
(440) 899-1571
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1228
OH
103TC0700X
Clinical Psychologist
P.1228
OH
Other
Enumeration date
10/26/2006
Last updated
01/04/2022
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