Individual
JANE S MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
280 N PROVIDENCE RD, MEDIA, PA 19063-3527
(610) 565-6609
Mailing address
280 N PROVIDENCE RD, MEDIA, PA 19063-3527
(610) 565-6609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS 006145 L
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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