Search › Nebraska › 103T00000X
Mackenzie Boon, PHD, LP
NPI 1518397033 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3230 W Wildwood Dr
Grand Island, NE 68801 - Phone
- (308) 381-8851
- Fax
- (308) 381-8853
- Organisation at this address
- Father Flanagan'S Boys Home
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 5965 S 900 E, Murray, UT
- 13460 Walsh Dr, Boys Town, NE
- 707 N Broadway, Baltimore, MD
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska