Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY LYNNE MACK, PHD
Active Sole ProprietorPsychologist · WAUKESHA, WI
Registration Details
- NPI Number
- 1700811015
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2006 (19.776667932781 yrs)
- Last Updated
- Nov 15, 2019
- License
-
2598-057 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20700 WATERTOWN RD STE 240WAUKESHA, WI, 531861800Browse WI providers · Browse ZIP 53186
- Phone
- 2623912551
- Fax
- 2622641060
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in WAUKESHA, WI
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY E. TYRE | PHD | 1447223045 |
| DR. DORI ANN BISCHMANN | PH.D. | 1518916485 |
| DR. PAUL KENNETH GLASS | PH.D. | 1255346078 |
| DR. JANE MARIE SCHNEIDER | PH.D. | 1669480059 |
| DR. JAMES MARTIN EISENMAN | PH.D. | 1972512051 |
| DR. DAVID LEE SMITH | PH.D. | 1013929108 |
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.