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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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