Philip N Mackinnon, PH D

NPI #1376681098 in Lewiston, Idaho

Provider Information

NPI Number
1376681098
Entity Type
Individual
Name
Philip N Mackinnon, PH D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist
Credential
PH D
Enumeration Date
Feb 2, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
415 6TH ST
State
Idaho
ZIP Code
83501-2431
Phone
(208) 743-2511

Specialties & Taxonomy Codes

Specialty
Psychologist

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