Individual
DR. JOHN ROSS MACKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
567 VAUXHALL STREET EXT STE 323, WATERFORD, CT 06385-4341
(860) 447-9274
(860) 447-9900
Mailing address
567 VAUXHALL STREET EXT STE 323, WATERFORD, CT 06385-4341
(860) 447-9274
(860) 447-9900
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
000771
CT
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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