Doctor Name: | DR. JENNIFER P MACDONALD |
NPI Number: | 1013103407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 7574 |
Business Practice Address: | 36 Woburn St #12b Reading, MA - 018672903 |
Business Phone Number: | 7819440238 |
Business Fax Number: | 7819445100 |
Mailing Address: | 36 Woburn St, #12b READING |
State: | MA |
Postal Code: | 018672903 |
Phone Number: | 7819440238 |
Fax Number: | 7819445100 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 7574 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |