DR. Delores Eliza Mack, PH.D.

NPI #1962555995 in Claremont, California

Provider Information

NPI Number: 1962555995
Entity Type: Individual
Name: DR. Delores Eliza Mack, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jan 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 414 YALE AVE
Address 2: SUITE F
City: Claremont
State: California
ZIP Code: 91711-4357
Phone: (909) 319-9956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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