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Dr. Keisha Lashon Mack

Clinical Psychologist Clinical Child & Adolescent Psychologist

3800 Reservoir Rd Nw
Washington , District of Columbia 20007-2113

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Dr. Keisha Lashon Mack

Clinical Psychologist Clinical Child & Adolescent Psychologist

3800 Reservoir Rd Nw
Washington , District of Columbia 20007-2113

(703) 558-1544

Write a Review Save Call

Dr. Keisha Lashon Mack

Clinical Psychologist Clinical Child & Adolescent Psychologist

3800 Reservoir Rd Nw
Washington , District of Columbia 20007-2113

(703) 558-1544 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Clinical Child & Adolescent Psychologist

Languages spoken

  • English

Location

3800 Reservoir Rd Nw Washington , District of Columbia 20007-2113

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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FAQs


Where did Dr. Keisha Lashon Mack attend graduate school?

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Where did Dr. Keisha Lashon Mack do her residency?

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Where did Dr. Keisha Lashon Mack do her fellowship?

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Is Dr. Keisha Lashon Mack board certified?

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What type of doctor is Dr. Keisha Lashon Mack

Clinical Psychologist

In what state does Dr. Keisha Lashon Mack practice in?

District of Columbia

Where is Dr. Keisha Lashon Mack ’s practice located?

3800 Reservoir Rd Nw , Washington, District of Columbia, 20007-2113

What is Dr. Keisha Lashon Mack ’s gender?

Female

Is Dr. Keisha Lashon Mack a sole practitioner?

No

Is Dr. Keisha Lashon Mack accepting new patients?

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What languages does Dr. Keisha Lashon Mack speak?

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Does Dr. Keisha Lashon Mack accept insurance?

Yes, Dr. Keisha Lashon Mack accepts insurance

Does Dr. Keisha Lashon Mack offers telemedicine?

Dr. Keisha Lashon Mack has not indicated if she offers telemedicine

What is Dr. Keisha Lashon Mack ’s professional license number?

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What is Dr. Keisha Lashon Mack ’s NPI number?

1104074970

Does Dr. Keisha Lashon Mack have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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