Provider Demographics
NPI:1740802164
Name:RICE-STUBBS, MARA (MD)
Entity type:Individual
Prefix:
First Name:MARA
Middle Name:
Last Name:RICE-STUBBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 OLD FREEPORT RD STE 2BF
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3127
Mailing Address - Country:US
Mailing Address - Phone:412-725-2746
Mailing Address - Fax:412-604-3784
Practice Address - Street 1:1380 OLD FREEPORT RD STE 2BF
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3127
Practice Address - Country:US
Practice Address - Phone:412-725-2746
Practice Address - Fax:412-604-3784
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4900952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry