| Loretta S. Malta, Ph.d. | |
|
747 Madison Ave Suite 102 Albany NY 12208-3809 | |
| (518) 419-7716 | |
| Not Available |
| Full Name | Loretta S. Malta, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 747 Madison Ave, Albany, New York |
| Authorized Official Name and Position | Loretta S Malta (PSYCHOLOGIST) |
| Authorized Official Contact | 5184197716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta S. Malta, Ph.d. 76 S Manning Blvd Albany NY 12203-1733 Ph: (518) 419-7716 | Loretta S. Malta, Ph.d. 747 Madison Ave Suite 102 Albany NY 12208-3809 Ph: (518) 419-7716 |
| NPI Number | 1811385073 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 12/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811385073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 016294 (New York) | Primary |
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