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Organization
KMALLORYMD
Active
Organization
KMALLORYMD
Active
Other names
Mallory Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE MALLORY MD (OWNER)
(413) 551-7155
Entity
Organization
Contact information
Practice address
12 CHURCH ST, LENOX, MA 01240-2503
(413) 551-7155
Mailing address
12 CHURCH ST, LENOX, MA 01240-2503
(413) 551-7155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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