DIANE ELIZABETH MACKAY MASS TEACHER CERTIFI
NPI 1184789448
Psychologist - Intellectual and Developmental Disabilities in Brockton, MA
Active since December 27, 2006
About Diane Elizabeth Mackay Mass Teacher Certifi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE ELIZABETH MACKAY MASS TEACHER CERTIFI (NPI 1184789448) is an individual intellectual and developmental disabilities provider in Brockton, Massachusetts and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1184789448
Entity TypeIndividualFemale
Primary Taxonomy103TM1800X
Provider Legal NameDIANE ELIZABETH MACKAYCredential: MASS TEACHER CERTIFI
Location Address1115 WEST CHESTNUT STBrockton, MA 02301
Mailing Address115 Center StRaynham, MA 02767 · (508) 977-0766
Phone(508) 559-0473
Fax(508) 427-5361
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184789448 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
1115 WEST CHESTNUT ST, Brockton, MA 02301
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT ST
BROCKTON, MA 02301
BROCKTON, MA 02301
Counselor (Mental Health)
1115 WEST CHESTNUT ST
BROCKTON, MA 02301
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT ST
BROCKTON, MA 02301
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT ST
BROCKTON, MA 02301
BROCKTON, MA 02301
Student in an Organized Health Care Education/Training Program
1115 WEST CHESTNUT ST
BROCKTON, MA 02301
BROCKTON, MA 02301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184789448, enumerated as an "individual" on December 27, 2006.
The provider is located at 1115 WEST CHESTNUT ST BROCKTON, MA 02301 and the phone number is (508) 559-0473.
Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.
