Malloy, Audrey

Malloy, Audrey is an individual health care provider with primary practice located at 3021 River Oaks Dr , Monroe LA 71201-2029. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Malloy, Audrey can be contacted via phone (318) 348-5701.

Contact Information

Primary practice address
3021 River Oaks Dr Monroe LA 71201-2029
Fax: (318) 388-0774
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3812 Louisiana

Profile Details

NPI number 1043289309
LBN Legal business name Malloy, Audrey
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated May 1st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043289309 NPPES
Louisiana MEDICAID 1321036

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