Most Relevant Information
Provider Data
NPI Number: | 1003003906 |
Provider Name: | MARY KAYE MALONEY CCC-SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 1826 |
Most Important Dates
Enumeration Date: | 09/25/2007 |
Last Updated: | 09/25/2007 |
Provider Practice Location
100 SCHOOL STREET
DORA CONSOLIDATED SCHOOLS
DORA
NM
881150327
Practice Location Phone/Fax
Phone: | 5054772211 |
Fax: |
Provider Mailing Location
511 INDIAN HILLS APACHE TRAIL
PORTALES
NM
881309106
Provider Mailing Phone/Fax
Phone: | 5054782424 |
Fax: |