National Provider Identifier Database

KEISHA L MACK, PhD – NPI #1104074970
Clinical

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 breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

KEISHA L MACK, PhD
3800 RESERVOIR RD NW
WASHINGTON, DC20007-2113
Phone: 202-444-5437
Fax: 202-444-2931
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X

* Indicates primary specialty

NPI Profile & details for KEISHA L MACK

NPI Number 1104074970
Credentials PhD
Entity Individual
Enumeration date 09/04/2008
Last updated 03/09/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • DC License #: PSY1000323
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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