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Individual

DR. TERRY GLEN MACKIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
414 GRANT ST, SEWICKLEY, PA 15143-1231
(412) 741-7430
Mailing address
2125 CARRIAGE HILL RD, ALLISON PARK, PA 15101-3321
(412) 366-7592

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002292
PA

Other

Enumeration date
05/26/2009
Last updated
05/26/2009
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