DR. MALLORY YOUNGHONG MAO (NPI# 1467865303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467865303 |
| Entity Type | Individual |
| Full Name | DR. MALLORY YOUNGHONG MAO |
| Credential | ED.D. |
| Practice Address |
3326 Pioneer Trl Shepherdsville KY 40165-9203 |
| Practice Telephone | 5027447422 |
| Mailing Telephone | 5027447422 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
KY 1111 | KY | Behavioral Health & Social Service Providers |
| Street Address |
3326 PIONEER TRL |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-9203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775566 | Vora Onique Blake | Psychologist | 305 Lindenhurst Dr Apt 8201, Lexington, KY 40509-1369 | 2020-06-24 |
| 1063032589 | Jarvis M Brookins | Psychologist | U.S. 68 Ste 900, Maysville, KY 41056-4105 | 2020-04-24 |
| 1639707839 | A Center for Change | Psychologist | 5900 Route Us 60 W, Suite A, Ashland, KY 41102-9508 | 2020-04-01 |
| 1760049472 | Donald August Kleine-kracht | Psychologist | 106 Frazee Hall, Lexington, KY 40506-0001 | 2019-05-29 |
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1194205955 | Rae Lyn Glover | Psychologist | 651 Longview Dr, Lexington, KY 40503-1709 | 2018-08-20 |
| 1841778198 | Healing Hearts | Psychologist | 2205 Carter Ave, Ashland, KY 41101-7823 | 2018-07-30 |
| 1669982328 | Clarity Counseling Services, Psc | Psychologist | 620 Euclid Ave Ste 203, Lexington, KY 40502-6429 | 2017-10-09 |
| 1124542881 | Jennifer Bogard | Psychologist | 5506 Lake Ct, Crestwood, KY 40014-9542 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
Please comment or provide details below to improve the information on DR. MALLORY YOUNGHONG MAO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.