Individual provider · Type 1 NPI
John Ross Mackinnon, PhD
Cognitive & Behavioral Psychologist · Waterford, CT
NPI number
1972689065
Active
Practice location
567 Vauxhall Street Ext Ste 323
Waterford, CT 06385-4341
Fax (860) 447-9900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist Primary | 103TB0200X | 000771 (CT) |
Cognitive & Behavioral Psychologist: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
About NPI 1972689065
John Ross Mackinnon, PhD's National Provider Identifier is 1972689065, issued on Oct 31, 2006. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Waterford, CT. The record was last updated on Jul 8, 2007.