Mallon, Kevin Frederick

Mallon, Kevin Frederick is an individual health care provider with primary practice located at 1925 Nw Amberglen Pkwy Suite 300, Hillsboro OR 97006-6945. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Health is his primary health care specialty. Mallon, Kevin Frederick can be contacted via phone (503) 906-5019.

Contact Information

Primary practice address
1925 Nw Amberglen Pkwy Suite 300 Hillsboro OR 97006-6945
Phone: (503) 906-5019
Fax: (503) 906-5193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY13735 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY13735 California
Behavioral Health & Social Service Providers / Health 103TH0004X PSY 13735 California

Profile Details

NPI number 1417930009
LBN Legal business name Mallon, Kevin Frederick
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Nov 23rd, 2009 - 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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