Individual
DR. WILLIAM MALLON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 AMERICAN LEGION HWY, ROSLINDALE, MA 02131-3908
(617) 529-9281
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(617) 529-9281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
023543
NY
Other
Enumeration date
08/19/2015
Last updated
07/13/2022
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