Provider Demographics
NPI:1730319088
Name:PRICE-CRIST, MARCY CAMERON (PHD, LP)
Entity Type:Individual
Prefix:DR
First Name:MARCY
Middle Name:CAMERON
Last Name:PRICE-CRIST
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 LOWER BARTON RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-6609
Mailing Address - Country:US
Mailing Address - Phone:850-530-4410
Mailing Address - Fax:
Practice Address - Street 1:12 LOWER BARTON RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-6609
Practice Address - Country:US
Practice Address - Phone:850-530-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NC6189103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health