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LYNETTE L MALLOCH PHD
NPI 1225078710
Psychologist - Clinical in Bowie, MD

Active since June 07, 2006
14300 GALLANT FOX LN STE 107, BOWIE, MD 20715(410) 562-6109 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lynette L Malloch Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNETTE L MALLOCH PHD (NPI 1225078710) is an individual clinical provider in Bowie, Maryland, licensed in Maryland (01817) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1225078710
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLYNETTE L MALLOCHCredential: PHD
Location Address14300 GALLANT FOX LN STE 107Bowie, MD 20715-4031
Mailing Address181 S Southwood AveAnnapolis, MD 21401-4025 · (410) 562-6109
Phone(410) 562-6109
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateFebruary 13, 2019
✔ NPI 1225078710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · 01817
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
14300 GALLANT FOX LN STE 107, Bowie, MD 20715
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Other Identifiers 4

OtherM3280009DC · Bc/bs Nat'l Capital Regio
Medicaid409366600MD
Other7704770MD · Aetna
Other41737902MD · Carefirst Rendering

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS BLONDINE ALEXANDRE LCSW-C
Social Worker
14300 GALLANT FOX LN STE 107
BOWIE, MD 20715
Prince George's County (202) 830-4320
PATRICK R DOZIER LMT
Massage Therapist
14300 GALLANT FOX LN STE 107
BOWIE, MD 20715
Prince George's County (443) 775-0796

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynette Malloch's NPI number?

The NPI number for Lynette Malloch is 1225078710. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Lynette Malloch located?

Lynette Malloch practices at 14300 Gallant Fox Ln Ste 107, Bowie, MD 20715. The listed phone number is (410) 562-6109.

What is Lynette Malloch's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lynette Malloch was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.