Individual
LANA N MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.E
Contact information
Practice address
501 S WESTERN AVE, ANAHEIM, CA 92804-1699
(714) 220-4040
Mailing address
501 N CRESCENT WAY, ANAHEIM, CA 92801-5401
(714) 999-3717
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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