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Contact Information

JOAN A MACKELL, PHD
7 HOLLYWOOD AVENUE
DOUGLAS MANOR, NY11363
 Phone: 917-543-5751
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOAN A MACKELL · (Female)

NPI # 1174087753
Status Active
Credentials PHD
Entity Individual
Enumeration date 01/28/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 012395-1
Hospital affiliation(s) Not Available
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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