Organization
MAURA K MALLOY PSYD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA KAYE MALLOY PSY.D. (PRESIDENT & OWNER)
(561) 533-3903
Entity
Organization
Contact information
Practice address
1375 GATEWAY BLVD # 57, BOYNTON BEACH, FL 33426-8304
(561) 533-3903
(561) 244-5149
Mailing address
1375 GATEWAY BLVD # 57, BOYNTON BEACH, FL 33426-8304
(561) 533-3903
(561) 244-5149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0004985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59491
BCBS DR. MALLOY #
FL
Enumeration date
01/23/2007
Last updated
05/31/2019
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