Individual
LYNNETTE D MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4625 E BAY DR, 302, CLEARWATER, FL 33764-5738
(727) 412-8000
(866) 469-3880
Mailing address
735 ARLINGTON AVE N, 305, ST PETERSBURG, FL 33701-3652
(727) 412-8003
(866) 469-3880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7984
FL
Other
Enumeration date
10/14/2009
Last updated
12/14/2009
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