Organization
LORETTA S. MALTA, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA S MALTA PH.D. (PSYCHOLOGIST)
(518) 419-7716
Entity
Organization
Contact information
Practice address
747 MADISON AVE, SUITE 102, ALBANY, NY 12208-3809
(518) 419-7716
Mailing address
76 S MANNING BLVD, ALBANY, NY 12203-1733
(518) 419-7716
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016294
NY
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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