Individual provider · Type 1 NPI

Keisha Lashon Mack, PhD

Clinical Psychologist · Washington, DC

NPI number 1104074970 Active

Practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Call (202) 444-5437 Map

Fax (202) 444-2931

Mailing address

PO Box 418407
Boston, MA 02241-8407

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY1000323 (DC)
Clinical Child & Adolescent Psychologist 103TC2200XPSY1000323 (DC)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104074970

Keisha Lashon Mack, PhD's National Provider Identifier is 1104074970, issued on Sep 4, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Washington, DC. The record was last updated on Mar 9, 2012.