| Daniel Malloy-good | |
|
45 Darby Rd Ste E4 Paoli PA 19301 | |
| (484) 321-6156 | |
| Not Available |
| Full Name | Daniel Malloy-good |
|---|---|
| Speciality | Social Worker |
| Location | 45 Darby Rd Ste E4, Paoli, Pennsylvania |
| Authorized Official Name and Position | Daniel Malloy-good (OWNER) |
| Authorized Official Contact | 4843216156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Malloy-good 1447 Aspen Ct West Chester PA 19380-2116 Ph: (484) 321-6156 | Daniel Malloy-good 45 Darby Rd Ste E4 Paoli PA 19301 Ph: (484) 321-6156 |
| NPI Number | 1871097519 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 05/24/2018 |
| Medicare PECOS PAC ID | 3173888971 |
|---|---|
| Medicare Enrollment ID | O20180529000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871097519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW005701L (Pennsylvania) | Primary |
| Provider Name | Daniel Malloy Good |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609988971 PECOS PAC ID: 3971868779 Enrollment ID: I20180529001974 |
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