Individual
JESSICA KRISTIN MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, DEPARTMENT OF PSYCHIATRY, RICHMOND, VA 23298-5051
(804) 828-3129
(804) 828-9493
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101248188
VA
Other
Enumeration date
06/28/2007
Last updated
01/07/2014
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