Scott Macinnis
Scott Macinnis is an Other Technician in Royal Oak, Michigan. Licensed in Michigan. Registered with an NPI since 2016.
- Licensed in
- MI
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
905 S Center StRoyal Oak, MI 48067-3230
Phone: (313) 477-9403
Show map & directions
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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 6361007539 (MI) |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1790148815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 5, 2016 |
| Last updated in NPPES | September 14, 2021 |
| Certification date | September 14, 2021 |
| Mailing address | 46540 Bartlett Dr, Canton, MI 48187-1517 |
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