Organization
SANDRA M. STORY, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY SANDRA STORY PSY.D., P.C. (LICENSED PSYCHOLOGIST)
(919) 844-8711
Entity
Organization
Contact information
Practice address
8512 SIX FORKS RD, SUITE 102, RALEIGH, NC 27615-2962
(919) 844-8711
(919) 844-8706
Mailing address
8512 SIX FORKS RD, SUITE 102, RALEIGH, NC 27615-2962
(919) 844-8711
(919) 844-8706
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2659
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045JA
BCBS PROVIDER NUMBER
NC
05
—
6000365
—
NC
Enumeration date
04/29/2006
Last updated
02/22/2008
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