Individual provider · Type 1 NPI
Diane Elizabeth Mackay, MASS TEACHER CERTIFI
Intellectual & Developmental Disabilities Psychologist · Brockton, MA
NPI number
1184789448
Active
Practice location
1115 West Chestnut St
Brockton, MA 02301
Fax (508) 427-5361
Mailing address
115 Center St
Raynham, MA 02767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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Other intellectual & developmental disabilities psychologist providers in Brockton
About NPI 1184789448
Diane Elizabeth Mackay, MASS TEACHER CERTIFI's National Provider Identifier is 1184789448, issued on Dec 27, 2006. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Brockton, MA. The record was last updated on Jul 8, 2007.