Individual
DR. BETHANY MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3085 WOODMAN DR STE 240, KETTERING, OH 45420-1159
(937) 951-3077
(937) 951-3109
Mailing address
3085 WOODMAN DR STE 240, KETTERING, OH 45420-1159
(937) 951-3077
(937) 951-3109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.08190
OH
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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