Individual
DANIEL MALLOY-GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 DARBY RD STE F, PAOLI, PA 19301
(484) 321-6156
Mailing address
45 DARBY RD STE F, PAOLI, PA 19301-1475
(484) 321-6156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW005701L
PA
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0476410000
IBC
PA
01
—
230499000
KEYSTONE
PA
01
—
7563295
AETNA
PA
Enumeration date
08/31/2006
Last updated
05/24/2018
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