MRS. MARY KAYE MALONEY CCC-SLP NPI 1003003906

Speech-Language Pathologist in Dora, NM

About MARY MALONEY

Mary Maloney is a provider in Dora, NM. The NPI number assigned to this provider is 1003003906. The practitioner's primary taxonomy code is Speech-Language Pathologist (235Z00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003003906 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMRS. MARY KAYE MALONEY CCC-SLP
Provider Location Address100 SCHOOL STREET DORA CONSOLIDATED SCHOOLS DORA, NM 88115 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address511 INDIAN HILLS APACHE TRAIL PORTALES, NM 88130 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-25-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-25-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MRS. MARY KAYE MALONEY CCC-SLP
100 SCHOOL STREET
DORA CONSOLIDATED SCHOOLS
DORA, NM
ZIP 88115
Phone: (505) 477-2211
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Mailing Address

MRS. MARY KAYE MALONEY CCC-SLP
511 INDIAN HILLS APACHE TRAIL
PORTALES, NM
ZIP 88130
Phone: (505) 478-2424

Primary Taxonomy

Taxonomy Code235Z00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.1826
License StateNM
Taxonomy DescriptionThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Map Location


MRS. MARY KAYE MALONEY CCC-SLP address is 100 SCHOOL STREET DORA CONSOLIDATED SCHOOLS DORA, NM 88115