Kevin Joseph Mack is a Clinical in Covelo, California. Kevin Joseph Mack practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Joseph Mack is 1760416903. The last update date is 2018-07-09.
Kevin Joseph Mack's current location address is Po Box 247, Covelo, California. You can contact this provider via phone number 7079836648 and fax number 7079836649. The mailing address for Kevin Joseph Mack is Po Box 247, Covelo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Joseph Mack |
|---|---|
| Address | Po Box 247, Covelo, California |
| Phone Number | 7079836648 |
| Fax Number | 7079836649 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1760416903 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2018-07-09 |
Provider Mailing Address Detail
| Address | Po Box 247 |
|---|---|
| City | Covelo |
| State | California (CA) |
| Post Code | 954280247 |
| Phone Number | 7079836648 |
| Fax Number | 7079836649 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 12983 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Kevin Joseph Mack's unique identification number?
The Kevin Joseph Mack has been assigned the NPI (National Provider Identifier) Number 1760416903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kevin Joseph Mack is physically located?
The Kevin Joseph Mack is physically situated at the following address: Po Box 247, Covelo, CA, 954280247.
What is Kevin Joseph Mack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Joseph Mack's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Kevin Joseph Mack receive its 1760416903 assignment?
The Kevin Joseph Mack was assigned its 1760416903 on 2006-07-11, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kevin Joseph Mack most recently updated or revised?
The details related to Kevin Joseph Mack, including its address, specialty, and other relevant information, were last updated or revised on 2018-07-09.
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