Moody, Mary
Moody, Mary is an individual health care provider with primary practice located at 1200 E Wheeling Ave , Cambridge OH 43725-2510. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Moody, Mary can be contacted via phone (740) 432-1800.Contact Information
Primary practice address
1200 E Wheeling Ave
Cambridge OH 43725-2510
Phone: (740) 432-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | BP00945793 | West Virginia |
Profile Details
| NPI number | 1316596109 |
|---|---|
| LBN Legal business name | Moody, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2019 |
| Last updated | Nov 11th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316596109 | NPPES |
| West Virginia | Other | BP00945793 | STATE LICENSE |
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