MALLORY RAY STEVENS-CARR (NPI# 1588148555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588148555 |
| Entity Type | Individual |
| Full Name | MALLORY RAY STEVENS-CARR |
| Practice Address |
826 Delaware Ave Fountain Hill PA 18015-1174 |
| Practice Telephone | 6104193101 |
| Mailing Telephone | 6104193101 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
826 DELAWARE AVE |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427097955 | Medical Associates of The Lehigh Valley PC | Internal Medicine | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2006-06-06 |
| 1871107094 | Josephine Cabrera | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2020-09-04 |
| 1306478920 | Damaris Morales | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2020-02-11 |
| 1871131896 | Kaitlyn Marie Stahl | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-12-20 |
| 1992340467 | Lina M Vega Pulgarin | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-11-08 |
| 1760026280 | Alana Mager | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-29 |
| 1700429875 | Rhiannon Emily Anderson | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-22 |
| 1295378396 | Amy Henriksen | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-10-21 |
| 1760033062 | Michael Kastelnik | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-09-27 |
| 1205486412 | Patricia Anastasia Rappaport | Counselor | 826 Delaware Ave, Fountain Hill, PA 18015-1174 | 2019-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1194275644 | Zumar Dubose | Psychologist | 7832 Temple Rd, Philadelphia, PA 19150-2110 | 2016-10-08 |
| 1619326089 | Bucks County Psychological | Psychologist | 10 S Clinton St Ste 207, Doylestown, PA 18901-4220 | 2016-06-07 |
| 1659773802 | Rashid Williams | Psychologist | 1000 3rd Ave, New Brighton, PA 15066-2012 | 2014-09-18 |
| 1134562325 | Santilli Psychological and Wellness Services, LLC | Psychologist | 3535 Route 130, Suite 2, Lower Level, Irwin, PA 15642-2143 | 2013-04-08 |
| 1962758052 | Jeremy Philip Frank | Psychologist | 3900 City Ave Ste D108, Presidential City Apartments, Madison Bldg., Phila, PA 19131-2926 | 2012-07-26 |
| 1871891994 | Marc Laud Feldman | Psychologist | 111 Forrest Ave Fl 2, Narberth, PA 19072-2252 | 2011-03-14 |
| 1588808398 | Amy Parkinson Seader | Psychologist | 1708 Madeira Ave, Jenkintown, PA 19046-2211 | 2009-04-23 |
| 1922279975 | Martha B Boston | Psychologist | 1350 Edgmont Ave, Suite 2575, Chester, PA 19013-3962 | 2008-03-18 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
Please comment or provide details below to improve the information on MALLORY RAY STEVENS-CARR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.