Individual
MR. JASON PAUL MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC SLP
Contact information
Practice address
214 TARTAN RD, LUMBERTON, NC 28358-2691
(828) 406-0439
Mailing address
214 TARTAN RD, LUMBERTON, NC 28358-2691
(828) 406-0439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412680
—
NC
Enumeration date
03/28/2007
Last updated
09/26/2016
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