Provider Demographics
NPI:1518781681
Name:CHOU, MARY VICTORIA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:VICTORIA
Last Name:CHOU
Suffix:
Gender:F
Credentials:PMHNP-BC
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Other - Middle Name:
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Mailing Address - Street 1:151 E ROSEMARY ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3539
Mailing Address - Country:US
Mailing Address - Phone:919-914-6202
Mailing Address - Fax:919-914-6412
Practice Address - Street 1:151 E ROSEMARY ST STE 202
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-3539
Practice Address - Country:US
Practice Address - Phone:919-914-6202
Practice Address - Fax:919-914-6412
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2024088642363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health