Fruit, Mary Alice
Fruit, Mary Alice is an individual health care provider with primary practice located at 2300 Ramsey St Mental Health Service Line (116), Fayetteville NC 28301-3856. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Fruit, Mary Alice can be contacted via phone (910) 482-5078.Contact Information
Primary practice address
2300 Ramsey St Mental Health Service Line (116)
Fayetteville NC 28301-3856
Phone: (910) 482-5078
Fax: (910) 482-5099
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 2082 | North Carolina |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2082 | North Carolina |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2082 | North Carolina |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 2082 | North Carolina |
Profile Details
NPI number | 1649200924 |
---|---|
LBN Legal business name | Fruit, Mary Alice |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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