Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENZIE RAE MALLEN
ActiveSchool Psychologist · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1417484973
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2017 (8.9355100890872 yrs)
- Last Updated
- Mar 17, 2018
- License
-
280059 (SC)
Practice Information
- Address
-
1175 CANE BAY BLVDSUMMERVILLE, SC, 294862396Browse SC providers · Browse ZIP 29486
- Phone
- 8438991957
- Primary Specialty
-
School Psychologist
103TS0200X
Other School Psychologist Providers in SUMMERVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW JAMES PRESTON | LPES | 1790096436 |
| DR. LYNN SNIPES WOGAMON | L.P.E.S | 1649586025 |
| RACHEL ELLINGSON | ED.S. | 1760906523 |
| MR. HENRY C THOMPSON II | ED.S. | 1912422296 |
| LAKIA CHARISE JOHNSON | LPES | 1407356439 |
| GABRIELLA MARIE DECENZO | — | 1801560172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.