Organization · Type 2 NPI

Mary Lynne Mack PHD LLC

Clinical Psychologist · Phoenix, AZ

NPI number 1639415078 Active

Practice location

4600 E Washington St Ste 300
Phoenix, AZ 85034-1908

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2598-057 (WI)

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 1639415078

Mary Lynne Mack PHD LLC's National Provider Identifier is 1639415078, issued on Dec 12, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 9, 2026.