Linda T Mack (NPI# 1063523041, PAC ID# 2961631866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1063523041 |
| PAC ID by PECOS | 2961631866 |
| Professional Enrollment ID | I20140304000534 |
| Full Name | Linda T Mack |
| Address |
3640 Valley Rd Liberty Corner NJ 07938-0132 |
| Gender | F |
| Graduation Year | 1989 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3640 Valley Rd, Liberty Corner, NJ 07938-0132 |
| Street Address |
3640 VALLEY RD |
| City | LIBERTY CORNER |
| State | NJ |
| Zip | 07938-0132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Fialkoff | Dermatology | Affiliated Dermatologists and Dermatologic Surgeons, P.a. | 14 Church St, Liberty Corner, NJ 07938 |
| Vincent Lasorsa | Chiropractic | 3644 Valley Rd, Suite 102, Liberty Corner, NJ 07938 | |
| Alexandra Grob | Dermatology | Affiliated Dermatologists and Dermatologic Surgeons, P.a. | 14 Church St, Liberty Corner, NJ 07938 |
| City | LIBERTY CORNER |
| Zip Code | 07938 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LIBERTY CORNER + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Linda T Mack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.