Individual
EBONY MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
Mailing address
11315 KETTERING TER, UPPER MARLBORO, MD 20774-1567
(301) 974-2286
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYA00343
DC
103TC0700X
Clinical Psychologist
PSYA00343
DC
Other
Enumeration date
01/27/2020
Last updated
09/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us