Mackay, Russell P

Mackay, Russell P is an individual health care provider with primary practice located at 1003 Eastgate Dr , Provo UT 84606-5601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Mackay, Russell P can be contacted via phone (801) 380-3914.

Contact Information

Primary practice address
1003 Eastgate Dr Provo UT 84606-5601
Phone: (801) 380-3914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5935490-3503 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5935490-6009 Utah

Profile Details

NPI number 1790877090
LBN Legal business name Mackay, Russell P
Credentials SSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Nov 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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