| NPI | 1396151866 |
|---|---|
| Other Name | DR. CARY NELSON MACK, PHD |
| Entity Type | Organization |
| Authorized Contact | CARY NELSON MACK Owner 225-766-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1035) |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2014-07-06 |