Story, Mary Sandra
Story, Mary Sandra is an sole proprietor health care provider with primary practice located at 8512 Six Forks Rd Suite 102, Raleigh NC 27615-2962. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Story, Mary Sandra can be contacted via phone (919) 844-8711.Contact Information
Primary practice address
8512 Six Forks Rd Suite 102
Raleigh NC 27615-2962
Phone: (919) 844-8711
Fax: (919) 844-8706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2659 | North Carolina |
Profile Details
| NPI number | 1295791143 |
|---|---|
| LBN Legal business name | Story, Mary Sandra |
| Credentials | PSY.D., P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295791143 | NPPES |
| North Carolina | MEDICAID | 6000365 |
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