Dale, Malinda Ann

Dale, Malinda Ann is an individual health care provider with primary practice located at 506 N Jackson St The Renaissance Centre, Albany GA 31701-2308. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Dale, Malinda Ann can be contacted via phone (229) 889-7200.

Contact Information

Primary practice address
506 N Jackson St The Renaissance Centre Albany GA 31701-2308
Phone: (229) 889-7200
Fax: (229) 889-7393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002619 Georgia

Profile Details

NPI number 1629050570
LBN Legal business name Dale, Malinda Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 28th, 2011 - about 15 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 1629050570 NPPES
Georgia MEDICAID 000966985A

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