Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN ROSS MACKINNON, PH.D.
Active Sole ProprietorDR. JOHN ROSS MACKINNON, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in WATERFORD, Connecticut. NPI 1972689065 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · WATERFORD, CT
Registration Details
- NPI Number
- 1972689065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.798379307 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000771 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
567 VAUXHALL STREET EXT STE 323WATERFORD, CT, 063854341Browse CT providers · Browse ZIP 06385
- Phone
- 8604479274
- Fax
- 8604479900
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
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.