Pacey, Mary Lyra

Pacey, Mary Lyra is an individual health care provider with primary practice located at 262 El Dorado Suite 100, Monterey CA 93940. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Pacey, Mary Lyra can be contacted via phone (831) 647-1480.

Contact Information

Primary practice address
262 El Dorado Suite 100 Monterey CA 93940
Fax: (831) 647-1480
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCS6209 California

Profile Details

NPI number 1912072877
LBN Legal business name Pacey, Mary Lyra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912072877 NPPES
California MEDICAID ZZZ37659Z

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