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Individual

CRAIG MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2700 STATE HIGHWAY, ROUTE 6, UNIT 2, WELLFLEET, MA 02667
(508) 905-2434
(508) 905-2855
Mailing address
PO BOX 2796, ORLEANS, MA 02653-6796
(508) 432-1400
(508) 487-6298

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6731
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110023854A
MA
Enumeration date
01/08/2007
Last updated
07/30/2026
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