Dr Keisha Lashon Mack, PHD - Psychologist in Washington, DC

Dr Keisha Lashon Mack, PHD is a Psychologist - Clinical based in Washington, District Of Columbia. Dr Keisha Lashon Mack is licensed to practice in District Of Columbia (license number PSY1000323) and her current practice location is 3800 Reservoir Rd Nw, Washington, District Of Columbia. She can be reached at her office (for appointments etc.) via phone at (202) 444-5437.

NPI number for Dr Keisha Lashon Mack is 1104074970 and her current mailing address is Po Box 418407, Boston, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104074970.

Contact Information

Dr Keisha Lashon Mack, PHD
3800 Reservoir Rd Nw,
Washington, DC 20007-2113
(202) 444-5437
(202) 444-2931



Healthcare Provider's Profile

Full NameDr Keisha Lashon Mack
GenderFemale
SpecialityPsychologist - Clinical
Location3800 Reservoir Rd Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104074970
  • Provider Enumeration Date: 09/04/2008
  • Last Update Date: 03/09/2012

Medical Identifiers

Medical identifiers for Dr Keisha Lashon Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104074970NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY1000323 (District Of Columbia)Primary
103TC2200XPsychologist - Clinical Child & Adolescent PSY1000323 (District Of Columbia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keisha Lashon Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Keisha Lashon Mack, PHD
Po Box 418407,
Boston, MA 02241-8407

Ph: (703) 558-1544
Dr Keisha Lashon Mack, PHD
3800 Reservoir Rd Nw,
Washington, DC 20007-2113

Ph: (202) 444-5437

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› Verified 1 days ago


Psychologist in Washington, DC

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