Individual
ELIZABETH MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., ED. S.
Contact information
Practice address
675 MAIN ST, WALTHAM, MA 02451-0602
(781) 893-2003
(781) 647-0183
Mailing address
63 HIGH ST, MALDEN, MA 02148-7011
(781) 635-8817
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
454413
MA
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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