Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAILA NORMAN MACK, PH.D.
Active Sole ProprietorCognitive & Behavioral Psychologist · SOMERVILLE, MA
Registration Details
- NPI Number
- 1255677969
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2012 (13.360344156751 yrs)
- Last Updated
- Sep 25, 2024
- License
-
10244 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
165 MIDDLESEX AVE STE 1118SOMERVILLE, MA, 021451105Browse MA providers · Browse ZIP 02145
- Phone
- 6179340219
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Cognitive & Behavioral Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.