Doctor Name: | JANET MICHELLE MACKENZIE |
NPI Number: | 1326437187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 0810004860 |
Business Practice Address: | 180 Grafton Ln Berryville, VA - 226112576 |
Business Phone Number: | 5409552400 |
Business Fax Number: | 5409552019 |
Mailing Address: | 180 Grafton Ln, BERRYVILLE |
State: | VA |
Postal Code: | 226112576 |
Phone Number: | 5409552400 |
Fax Number: | 5409552019 |
NPI Enumeration Date: | 01/16/2015 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0810004860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |