Organization
GREW, MORTER & HARTYE, PA
Active
Organization
GREW, MORTER & HARTYE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYANNE HARTYE PH.D. (PRESIDENT, PSYCHOLOGIST)
(919) 783-5431
Entity
Organization
Contact information
Practice address
3141 JOHN HUMPHRIES WYND, RALEIGH, NC 27612-5438
(919) 783-5431
(919) 783-6480
Mailing address
3141 JOHN HUMPHRIES WYND, RALEIGH, NC 27612-5438
(919) 783-5431
(919) 783-6480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1285
NC
103TC0700X
Clinical Psychologist
2211
NC
103TC0700X
Clinical Psychologist
2695
NC
103TC0700X
Clinical Psychologist
2885
NC
103TC0700X
Clinical Psychologist
Primary
3188
NC
103TC0700X
Clinical Psychologist
850
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000105
—
NC
05
—
6000106
—
NC
05
—
6000107
—
NC
05
—
6000661
—
NC
05
—
6000763
—
NC
05
—
6000847
—
NC
05
—
6005119
—
NC
Enumeration date
07/19/2006
Last updated
08/22/2020
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