Individual
MRS. MARY WILLIS PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPA
Contact information
Practice address
165 MAHALEY AVE, SALISBURY, NC 28144-2448
(704) 213-1099
(704) 919-5381
Mailing address
165 MAHALEY AVE, SALISBURY, NC 28144-2448
(704) 213-1099
(704) 919-5381
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046G7
NC BCBS
NC
05
—
6107050
—
NC
Enumeration date
06/08/2006
Last updated
03/21/2021
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