Provider Demographics
NPI:1316263544
Name:SCALLY, CAROL JEANNE (PSYD)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JEANNE
Last Name:SCALLY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:38 ROSSCRAGGON ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-654-7715
Mailing Address - Fax:828-654-7701
Practice Address - Street 1:38 ROSSCRAGGON RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1163
Practice Address - Country:US
Practice Address - Phone:828-684-7715
Practice Address - Fax:828-654-7701
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health