MALLORY SHORT MS NPI 1346703964

NPI Information

NPI: 1346703964
Provider Name: MALLORY SHORT, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3320 PARK DR
STURGEON BAY, WI
ZIP 54235
Phone: (920) 255-8068
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Mallory Short, MS is a mental health counselor in Sturgeon Bay, WI. Mallory Short, MS NPI is 1346703964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3320 PARK DR
STURGEON BAY, WI
ZIP 54235-325
Phone: (920) 255-8068

The enumeration date for this NPI number is 4/10/2019 and was last updated on 3/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	5858-125	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	5858-125	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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