Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON E. MACKINNON, PH. D.
Active Sole ProprietorDR. GORDON E. MACKINNON, PH. D. is a Clinical Psychologist healthcare provider located in SOUTHFIELD, Michigan. NPI 1811086697 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1811086697
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.824796345109 yrs)
- Last Updated
- Jul 8, 2007
- License
-
6301006861 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17336 W 12 MILE RD STE 101SOUTHFIELD, MI, 480762113Browse MI providers · Browse ZIP 48076
- Phone
- 2485839362
- Fax
- 2488796774
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS ALAN HULBERT | PH.D. | 1841273570 |
| DR. DAVID MITTELMAN | PH.D. | 1669427639 |
| LAMAURICE H GARDNER | PSYD | 1013945229 |
| DR. DYAN HAMPTON-AYTCH | PHD, LP | 1508882119 |
| GAIL BERKOVE | PHD | 1841309655 |
| DR. MARY MARGARET HILLEBRAND | PHD | 1639288608 |
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.