Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 7574 | MA |
Y | 103TC0700X | Clinical Psychologist | 7574 | MA |
NPI | 1013103407 |
---|---|
Provider Name | Dr. Jennifer P Macdonald |
First Address | Reading, MA 01867-2903 |
Second Address | Reading, MA 01867-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 19/09/2007 |