Individual provider · Type 1 NPI
Latasha McKenzie Mack
Clinical Psychologist · Atlanta, GA
Practice location
1050 Crown Pointe Pkwy, Suite 295
Atlanta, GA 30338-7707
Fax (866) 325-5340
Mailing address
496 Laurelton Cir
Lawrenceville, GA 30044-7741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | PSY002889 (GA) |
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 1285773002
Latasha McKenzie Mack's National Provider Identifier is 1285773002, issued on Feb 6, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.