PHD Lynette L Malloch, NPI 1225078710
Clinical Psychologist in Bowie, MD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1225078710
NPI Entity Type Individual
Provider Name PHD Lynette L Malloch
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 14300 Gallant Fox Ln Ste 107, Bowie, MD, US
Provider Mailing Address 181 S Southwood Ave, Annapolis, MD, US, 214014025
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

103TC0700X

Taxonomy Name Clinical Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 01817
License State MD
Description A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Business Address

PHD Lynette L Malloch
14300 Gallant Fox Ln Ste 107

Bowie, MD, US

Phone: 410-562-6109

Mailing Address

PHD Lynette L Malloch
181 S Southwood Ave
Annapolis, MD, US
ZIP 214014025
Phone: 410-562-6109

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
409366600 MD MEDICAID 05
41737902 MD CAREFIRST RENDERING 01
7704770 MD AETNA 01
M3280009 DC BC/BS NAT'L CAPITAL REGIO 01

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