Individual
DR. KATHLEEN A. MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8 TRIANGLE PARK DR, SUITE 804, CINCINNATI, OH 45246-3404
(513) 771-8555
(513) 771-8556
Mailing address
PO BOX 674, LOVELAND, OH 45140-0674
(513) 771-8555
(513) 771-8556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3898
OH
103TC0700X
Clinical Psychologist
Primary
3898
OH
103TH0100X
Health Service Psychologist
3898
OH
Other
Enumeration date
02/19/2006
Last updated
08/13/2012
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