National Provider Identifier

Peter Kenneth Mackenzie, PH.D.

Peter Kenneth Mackenzie, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Spencerport, NY and a listed phone number of (585) 349-2656.

NPI 1184680290Spencerport, NYClinical Psychologist

Profile Overview

NPI
1184680290
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
April 26, 2006
Last Updated
July 08, 2007

Practice Location

  • 85 Union St
  • Suite 206
  • Spencerport, NY 14559-1255

Phone: (585) 349-2656

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1184680290
Entity Type
Individual
Last Name
Mackenzie
First Name
Peter
Middle Name
Kenneth
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
85 Union St
Mailing Address Line 2
Suite 206
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-1255
Mailing Country
US
Mailing Phone
(585) 349-2656
Mailing Fax
(585) 352-5700
Practice Street Address
85 Union St
Practice Address Line 2
Suite 206
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1255
Practice Country
US
Practice Phone
(585) 349-2656
Practice Fax
(585) 352-5700
Enumeration Date
April 26, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)