Malloch, Kelly S

Malloch, Kelly S is an individual health care provider with primary practice located at 9 Roslyn Dr , Ballston Lake NY 12019-9744. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Malloch, Kelly S can be contacted via phone (518) 378-6390.

Contact Information

Primary practice address
9 Roslyn Dr Ballston Lake NY 12019-9744
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1972786432
LBN Legal business name Malloch, Kelly S
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Jan 11th, 2021 - about 3 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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