Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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McKenzie Bourque

Individual provider Clinical Psychologist · NPI 1417634866

McKenzie Bourque is a Clinical Psychologist in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
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Practice location Address checks out

3550 Market St
Philadelphia, PA 19104-3329
Phone: (267) 624-3493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS019921 (PA)

Record details

NPI number1417634866
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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