Maloney, Jack

Maloney, Jack is an sole proprietor health care provider with primary practice located at 4125 Grand Meadows Blvd , Melbourne FL 32934-2948. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Maloney, Jack can be contacted via phone (321) 305-2766.

Contact Information

Primary practice address
4125 Grand Meadows Blvd Melbourne FL 32934-2948
Phone: (321) 305-2766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 9020 Florida

Profile Details

NPI number 1669533857
LBN Legal business name Maloney, Jack
Credentials LCSW- CAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Mar 6th, 2012 - about 13 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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