Individual
DR. LEANNE FOLI MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
3200 COLD SPRING RD, INDIANAPOLIS, IN 46222-1960
(317) 955-6150
Mailing address
6792 BLACK OAK WEST CT, AVON, IN 46123-8014
(317) 272-1032
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040634
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252690
—
IN
01
—
11348711
CAQH USER NAME
IN
Enumeration date
05/16/2006
Last updated
07/08/2007
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