Latasha McKenzie Mack
Latasha McKenzie Mack is a Clinical Psychologist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
1050 Crown Pointe Pkwy Ste 295Atlanta, GA 30338-7707
Phone: (866) 325-5434
Fax: (866) 325-5340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY002889 (GA) |
|---|
Record details
| NPI number | 1285773002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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