| Aby Malley Psychotherapy Llc | |
|
300 Hunter Ave Ste 110 Clayton MO 63124-2081 | |
| (970) 988-3576 | |
| Not Available |
| Full Name | Aby Malley Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Hunter Ave Ste 110, Clayton, Missouri |
| Authorized Official Name and Position | Abigail E Malley (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9709883576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aby Malley Psychotherapy Llc 300 Hunter Ave Ste 110 Clayton MO 63124-2081 Ph: (970) 988-3576 | Aby Malley Psychotherapy Llc 300 Hunter Ave Ste 110 Clayton MO 63124-2081 Ph: (970) 988-3576 |
| NPI Number | 1750074464 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 09/30/2023 |
| Certification Date | 09/30/2023 |
| Medicare PECOS PAC ID | 6002274727 |
|---|---|
| Medicare Enrollment ID | O20230627003009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750074464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Abigail Malley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649708132 PECOS PAC ID: 7113346024 Enrollment ID: I20200925002051 |
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