Individual
MARISA GLORIA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4698
(585) 922-5702
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4698
(585) 922-5702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023927
NY
Other
Enumeration date
04/30/2018
Last updated
11/04/2020
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