Healthcare Provider Details

I. General information

NPI: 1336039809
Provider Name (Legal Business Name): GRINDSTONE PATH PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 ALEXANDER HILL CT
HARRISBURG NC
28075-7100
US

IV. Provider business mailing address

4425 ALEXANDER HILL CT
HARRISBURG NC
28075-7100
US

V. Phone/Fax

Practice location:
  • Phone: 704-747-0607
  • Fax:
Mailing address:
  • Phone: 704-747-0607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA MASCARI
Title or Position: PSYCHOLOGIST/OWNER
Credential: MA, LPA, HSP-PA
Phone: 704-747-0607