Individual
DR. PAUL F. MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6355
(401) 455-6309
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6355
(401) 455-6293
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS00261
RI
103T00000X
Psychologist
Primary
PS00261
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25635-7
BLUE CROSS
RI
01
—
406667
BLUE CHIP
RI
01
—
61-11141
UBH
RI
Enumeration date
10/02/2006
Last updated
09/11/2025
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