Individual
DR. LATOYA E SHAKES MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7420 NW 5TH STREET, SUITE 112, PLANTATION, FL 33317-1611
(954) 662-7644
(954) 583-4528
Mailing address
7420 NW 5TH ST, SUITE 112, PLANTATION, FL 33317-1611
(954) 662-7644
(954) 583-4528
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY7376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY7376
LICENSE NUMBER
FL
Enumeration date
10/12/2006
Last updated
07/08/2007
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