Individual provider · Type 1 NPI

McKenzie Bourque

Clinical Psychologist · Philadelphia, PA

NPI number 1417634866 Active

Practice location

3550 Market St
Philadelphia, PA 19104-3329

Mailing address

2226 S Mildred St
Philadelphia, PA 19148-3110

Other practice locations

  • 225 S Cobbs Creek Pkwy, Philadelphia, PA 19139-3723 · (215) 476-2223

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS019921 (PA)

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 1417634866

McKenzie Bourque's National Provider Identifier is 1417634866, issued on Jun 28, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 28, 2023.