Individual
DR. A. NICOLE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-7826
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-7826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
21122
CA
103TC0700X
Clinical Psychologist
Primary
PSY.0003049
CO
Other
Enumeration date
02/28/2007
Last updated
01/23/2025
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