Individual
DR. BARBARA A MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
100 NORTH COUNTRY RD, EAST SETAUKET, NY 11733
(631) 751-3405
(631) 751-3465
Mailing address
7 DEERING ST, EAST SETAUKET, NY 11733
(631) 689-5788
(631) 751-3465
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
111161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008640
EMPIRE ELECTRONIC SUBMITT
—
05
—
01288137
—
NY
01
—
EDI00572
IVANS USER NAME
—
01
—
V78701
EMPIRE
—
Enumeration date
12/13/2006
Last updated
07/09/2007
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