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Individual

DR. MELISSA KLIKA MACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
13 MADISON AVE, MADISON, NJ 07940-1400
(908) 512-6027
(973) 695-1483
Mailing address
8 LONGVIEW AVE, MADISON, NJ 07940-1712
(908) 512-6027
(973) 695-1483

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
019839
NY
103TC0700X
Clinical Psychologist
Primary
5134
NJ

Other

Enumeration date
01/08/2014
Last updated
01/08/2014
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