| Maura K Malloy Psyd Pa | |
|
1375 Gateway Blvd # 57 Boynton Beach FL 33426-8304 | |
| (561) 533-3903 | |
| (561) 244-5149 |
| Full Name | Maura K Malloy Psyd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1375 Gateway Blvd # 57, Boynton Beach, Florida |
| Authorized Official Name and Position | Maura Kaye Malloy (PRESIDENT & OWNER) |
| Authorized Official Contact | 5615333903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maura K Malloy Psyd Pa 1375 Gateway Blvd # 57 Boynton Beach FL 33426-8304 Ph: (561) 533-3903 | Maura K Malloy Psyd Pa 1375 Gateway Blvd # 57 Boynton Beach FL 33426-8304 Ph: (561) 533-3903 |
| NPI Number | 1023162245 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 05/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023162245 | NPI | - | NPPES |
| 59491 | Other | FL | BCBS DR. MALLOY # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY0004985 (Florida) | Primary |
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