Individual
DR. TIMOTHY ANDREW MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
632 WASHINGTON ST, UNIT E6, BRAINTREE, MA 02184-5727
(781) 849-1250
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3389
MA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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