Individual provider · Type 1 NPI

Mac Andrew Jack

Clinical Psychologist · Boulder, CO

NPI number 1225856867 Active

Practice location

2919 Valmont Rd, Ste 204
Boulder, CO 80301

Fax (303) 938-1145

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	CO-2847 (CO)

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 1225856867

Mac Andrew Jack's National Provider Identifier is 1225856867, issued on Oct 2, 2024. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Boulder, CO. The record was last updated on Oct 2, 2024.