Dr. Keisha Lashon Mack
Clinical Psychologist Clinical Child & Adolescent Psychologist
3800 Reservoir Rd Nw
Washington
, District of Columbia 20007-2113
Dr. Keisha Lashon Mack
Clinical Psychologist Clinical Child & Adolescent Psychologist
3800 Reservoir Rd Nw
Washington
, District of Columbia 20007-2113
(703) 558-1544
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Keisha Lashon Mack
- Po Box 418407
- Boston, MA
- Zip : 02241-8407
- Phone : (703) 558-1544
Second Address
- Dr. Keisha Lashon Mack
- 3800 Reservoir Rd Nw
- Washington, DC
- Zip : 20007-2113
- Fax : (202) 444-2931
- Phone : (202) 444-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY1000323 | DC |
| Y | 103TC0700X | Clinical Psychologist | PSY1000323 | DC |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY1000323 | DC |
National Provider Identifier
| NPI | 1104074970 |
|---|---|
| Provider Name | Dr. Keisha Lashon Mack |
| First Address | Boston, MA 02241-8407 |
| Second Address | Washington, DC 20007-2113 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2008 |
| Last Update Date | 09/03/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.