Mckenzie Rae Mallen, - Psychologist in Summerville, SC

Mckenzie Rae Mallen, is a Psychologist - School based in Summerville, South Carolina. Mckenzie Rae Mallen is licensed to practice in South Carolina (license number 280059) and her current practice location is 1175 Cane Bay Blvd, Summerville, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 899-1957.

NPI number for Mckenzie Rae Mallen is 1417484973 and her current mailing address is 1175 Cane Bay Blvd, Summerville, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417484973.

Contact Information

Mckenzie Rae Mallen,
1175 Cane Bay Blvd,
Summerville, SC 29486-2396
(843) 899-1957
Not Available



Healthcare Provider's Profile

Full NameMckenzie Rae Mallen
GenderFemale
SpecialityPsychologist - School
Location1175 Cane Bay Blvd, Summerville, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417484973
  • Provider Enumeration Date: 05/16/2017
  • Last Update Date: 03/17/2018

Medical Identifiers

Medical identifiers for Mckenzie Rae Mallen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417484973NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 280059 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mckenzie Rae Mallen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mckenzie Rae Mallen,
1175 Cane Bay Blvd,
Summerville, SC 29486-2396

Ph: () -
Mckenzie Rae Mallen,
1175 Cane Bay Blvd,
Summerville, SC 29486-2396

Ph: (843) 899-1957

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› Verified 7 days ago


Psychologist in Summerville, SC

Karen Stockbridge, ED.S, LPES
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1815 Bacons Bridge Road #b12, Summerville, SC 29485
Phone: 843-376-3112    
Mrs. Shannon Tapp, LPES
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1815 Bacons Bridge Rd Apt B12, Summerville, SC 29485
Phone: 843-376-3112    Fax: 843-594-0110
Dr. James H Way, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 679 Orangeburg Rd, Suite F, Summerville, SC 29483
Phone: 843-261-2600    Fax: 888-839-6837
Mary-catherine Stoney, LPES
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 700 Nexton Square Dr, Summerville, SC 29486
Phone: 843-376-3112    Fax: 843-594-0110
Hillary Peterson, MA, ED.S, NCSP, LPES
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 674 Hilchot Dr, Summerville, SC 29486
Phone: 843-224-0311    
Jennifer Marissa Leigh,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 110 Fred St Apt 3h, Summerville, SC 29483
Phone: 843-826-3870    

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