Bethany Mallory

Psychologist · Kettering, OH

Individual Active NPI

NPI number 1043986540

Practice location

3085 Woodman Dr Ste 240
Kettering, OH 45420-1159
Phone
(937) 951-3077
Fax
(937) 951-3109

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NPI record

NPI
1043986540
Entity type
Individual (Type 1)
Enumeration date
August 17, 2021
Last updated
August 17, 2021
Certified
August 17, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X P.08190 OH

About Bethany Mallory

Bethany Mallory is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 3085 Woodman Dr Ste 240, Kettering, OH 45420-1159. The NPI number 1043986540 was assigned on August 17, 2021 and the record was last updated on August 17, 2021.

Bethany Mallory lists a license in the registry: #P.08190 (OH) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Mallory?

The NPI number is 1043986540.

What is the phone number of Bethany Mallory?

The phone number listed for the practice location is (937) 951-3077.

Where is Bethany Mallory located?

3085 Woodman Dr Ste 240, Kettering, OH 45420-1159.

What is the taxonomy code for Bethany Mallory?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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