Individual
ROBYN MALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
100 4TH ST S, FARGO, ND 58103-1929
(701) 234-4141
(701) 234-4137
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
488
ND
103TC2200X
Clinical Child & Adolescent Psychologist
LP5675
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17560
—
ND
Enumeration date
11/06/2013
Last updated
04/10/2014
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