Provider Demographics
NPI:1174377428
Name:STONEY, MARY-CATHERINE (LPES)
Entity type:Individual
Prefix:
First Name:MARY-CATHERINE
Middle Name:
Last Name:STONEY
Suffix:
Gender:F
Credentials:LPES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NEXTON SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-7915
Mailing Address - Country:US
Mailing Address - Phone:843-376-3112
Mailing Address - Fax:843-594-0110
Practice Address - Street 1:700 NEXTON SQUARE DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-7915
Practice Address - Country:US
Practice Address - Phone:843-376-3112
Practice Address - Fax:843-594-0110
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool