Tiffany Jacqueline McKenzie, MA, LPA
Psychologist in Raleigh, NC. Individual provider (NPI-1).
NPI number1467519082
StatusActive
Last updated in NPPESJun 3, 2009
Details
- NPI
- 1467519082
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tiffany Jacqueline McKenzie
- Credential
- MA, LPA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2007
- Last updated
- Jun 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 2424 | NC | Yes |
Practice location
8390 Six Forks RdSuite #201
Raleigh, NC 27615-3060
Phone 919-782-8730 · Fax 919-782-8731
Mailing address
2013 Waterton LnApex, NC 27502-9003
Phone 919-303-4941
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