PHILIP N MACKINNON

LEWISTON, ID
NPI1376681098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: WA  PSY235)
Enumeration Date2007-02-02
Last Update Date2007-07-09
Business Address
-- PHILIP N MACKINNON PH D
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
Mailing Address
-- PHILIP N MACKINNON PH D
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511