Stacy S Mallare is a psychiatric/mental health nurse practitioner in Columbia, MD. Stacy S Mallare NPI is 1639540420. 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:
10954 HILLTOP LN
COLUMBIA, MD
ZIP 21044-780
Phone: (410) 718-3213
The NPI 1639540420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/19/2015.