Individual
DR. MALINDA ANN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
506 N JACKSON ST, THE RENAISSANCE CENTRE, ALBANY, GA 31701-2308
(229) 889-7200
(229) 889-7393
Mailing address
760 FLOWING WELL RD, LEESBURG, GA 31763-3126
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000966985A
—
GA
Enumeration date
11/16/2005
Last updated
06/28/2011
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