DR. PAUL F. MALLOY PHD

Clinical Neuropsychologist

Providence, Rhode Island

Provider NPI: 1144313909

Provider Information:
DR. PAUL F. MALLOY PHD
Gender: M
Not Sole Proprietor

Practice Location:
345 BLACKSTONE BLVD  PROVIDENCE, RI 02906 US
Tel: 401-455-6355  Fax: 401-455-6309

Business Mailing Address:
345 BLACKSTONE BLVD  PROVIDENCE, RI 02906 US
Tel: 401-455-6355  Fax: 401-455-6293

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
X	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	RI	PS00261
X	103T00000X	Behavioral Health & Social Service Providers Psychologist	RI	PS00261

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS	25635-7	RI	01
UBH	61-11141	RI	01
BLUE CHIP	406667	RI	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

corrections    © cis    contact    copyright    privacy
job search by