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Individual

DR. SHELDON D. MALETT

Active
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Individual

DR. SHELDON D. MALETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5392
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966936
—
NY
01
—
455462000
MAGELLAN BEHAVIORAL HLTH#
NY
01
—
P010005392
EXCELLUS BLUE SHIELD #
NY
Enumeration date
09/24/2006
Last updated
09/17/2022
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