Dr. Mark McKinley, Psy.D.
Psychologist, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1750545331
StatusActive
Last updated in NPPESMay 10, 2017
Details
- NPI
- 1750545331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark McKinley
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2008
- Last updated
- May 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 022043 | NY | Yes |
| 103T00000X | Psychologist | 26095 | CA |
Practice location
1745 Broadway17th Fl.
New York, NY 10019-4640
Phone 212-851-8100 · Fax 212-537-0102
Mailing address
1745 Broadway17th Fl.
New York, NY 10019-4640
Phone 212-851-8100 · Fax 212-537-0102
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