| Mackenzie Boon, PHD, LP | |
|
3230 W Wildwood Dr, Grand Island, NE 68801-9609 | |
| (308) 381-8851 | |
| (308) 381-8853 |
| Full Name | Mackenzie Boon |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 3230 W Wildwood Dr, Grand Island, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518397033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1048 (Nebraska) | Primary |
| Entity Name | Father Flanagans Boys Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295821825 PECOS PAC ID: 9638165400 Enrollment ID: O20040426000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Boon, PHD, LP 2931 E Biddle St, Baltimore, MD 21213-3939 Ph: (443) 923-1872 | Mackenzie Boon, PHD, LP 3230 W Wildwood Dr, Grand Island, NE 68801-9609 Ph: (308) 381-8851 |
Bethelem Chuol Thok, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2208 N Webb Rd # Units4, Grand Island, NE 68803 Phone: 308-381-1690 | |
Eric Francis Schmidt, PMHP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 N Elm St, Grand Island, NE 68801 Phone: 308-395-1046 | |
Abby Stoddard, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 S. Webb Rd., Po Box 4904, Grand Island, NE 68802 Phone: 308-385-5900 | |
Dr. Jeremy Morton, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-382-3660 | |
Christopher Flora-tostado, PHD, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 N Broadwell Ave, Grand Island, NE 68803 Phone: 308-389-5134 | |
Kristina Hirschman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 S. Webb Rd., Po Box 4904, Grand Island, NE 68802 Phone: 308-385-5900 | |
Jacqueline Rodriguez-paar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 123 S. Webb Rd., Po Box 4904, Grand Island, NE 68802 Phone: 308-385-5900 |