| Dr. Cary Nelson Mack, Phd | |
|
9229 Bluebonnet Blvd Ste. B Baton Rouge LA 70810-2808 | |
| (225) 766-7470 | |
| (225) 766-7473 |
| Full Name | Dr. Cary Nelson Mack, Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9229 Bluebonnet Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Cary Nelson Mack (OWNER) |
| Authorized Official Contact | 2257667470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Cary Nelson Mack, Phd 9229 Bluebonnet Blvd Ste. B Baton Rouge LA 70810-2808 Ph: (225) 766-7470 | Dr. Cary Nelson Mack, Phd 9229 Bluebonnet Blvd Ste. B Baton Rouge LA 70810-2808 Ph: (225) 766-7470 |
| NPI Number | 1396151866 |
|---|---|
| Provider Enumeration Date | 07/06/2014 |
| Last Update Date | 07/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396151866 | NPI | - | NPPES |
| 1345661 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1035 (Louisiana) | Primary |
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