Individual
MRS. HEATHER DIANE MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
10112 FAIR OAKS BOULEVARD, SUITE 2, FAIR OAKS, CA 95628
(916) 863-0640
(916) 961-7794
Mailing address
10112 FAIR OAKS BOULEVARD, SUITE 2, FAIR OAKS, CA 95628
(916) 863-0640
(916) 961-7794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13607
CA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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