Mallory Ray Stevens-Carr
Addiction Psychologist (Substance Use Disorder)
826 Delaware Ave
Fountain Hill
, Pennsylvania 18015-1174
Mallory Ray Stevens-Carr
Addiction Psychologist (Substance Use Disorder)
826 Delaware Ave
Fountain Hill
, Pennsylvania 18015-1174
(610) 419-3101
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mallory Ray Stevens-Carr
- 826 Delaware Ave
- Fountain Hill, PA
- Zip : 18015-1174
- Phone : (610) 419-3101
Second Address
- Mallory Ray Stevens-Carr
- 826 Delaware Ave
- Fountain Hill, PA
- Zip : 18015-1174
- Phone : (610) 419-3101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
National Provider Identifier
| NPI | 1588148555 |
|---|---|
| Provider Name | Mallory Ray Stevens-Carr |
| First Address | Fountain Hill, PA 18015-1174 |
| Second Address | Fountain Hill, PA 18015-1174 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2018 |
| Last Update Date | 17/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.