Mack, Julie M
Mack, Julie M is an sole proprietor health care provider with primary practice located at 24 Rockland St Unit 7 Hanover Psychological Associates, Hanover MA 02339-2226. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mack, Julie M can be contacted via phone (781) 826-8228.Contact Information
Primary practice address
24 Rockland St Unit 7 Hanover Psychological Associates
Hanover MA 02339-2226
Phone: (781) 826-8228
Fax: (781) 826-0965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 3769 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3679 | Massachusetts |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 3769 | Massachusetts |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | B769 | Massachusetts |
Profile Details
| NPI number | 1306912415 |
|---|---|
| LBN Legal business name | Mack, Julie M |
| Credentials | PHD PSYCHOLOGY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Sep 29th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306912415 | NPPES |
| Massachusetts | MEDICAID | 0515299 | |
| Massachusetts | Other | 6151458 | |
| Massachusetts | Other | 4545006 | |
| Massachusetts | Other | 000821 | |
| Massachusetts | Other | 3249700821 | |
| Massachusetts | Other | 703727 | |
| Massachusetts | Other | 009484 | |
| Massachusetts | Other | 1007070 | |
| Massachusetts | Other | 202886 | |
| Massachusetts | Other | M62937 | |
| Massachusetts | Other | 111631000 | |
| Massachusetts | Other | 767861 |
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