Individual
DR. MARIA W MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3112 MAIN ST, VANCOUVER, WA 98663-2752
(360) 694-2016
Mailing address
3112 MAIN ST, VANCOUVER, WA 98663-2752
(360) 694-2016
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 2409
WA
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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