IndividualActive
Diane Mackay, MASS TEACHER CERTIFI
NPI 1184789448 · Intellectual & Developmental Disabilities Psychologist · Brockton, MA
Provider details
- NPI number
- 1184789448
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- MASS TEACHER CERTIFI
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1115 West Chestnut St
Brockton, MA 02301
Phone: (508) 559-0473
Fax: (508) 427-5361
Approximate (ZIP-level) locationGet directions
Mailing address
115 Center St
Raynham, MA 02767
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.