Most Relevant Information
Provider Data
| NPI Number: | 1003822578 |
| Provider Name: | R. SCOTT MACKIN PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103G00000X |
| Specialty: | Clinical Neuropsychologist |
| License Number: | PSY20717 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 06/12/2008 |
Provider Practice Location
401 PARNASSUS AVE # LP220
SAN FRANCISCO
CA
941432211
Practice Location Phone/Fax
| Phone: | 4154767067 |
| Fax: | 4155026364 |
Provider Mailing Location
1635 DIVISADERO ST
SUITE 625, BOX 1821
SAN FRANCISCO
CA
941430001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |