National Provider Identifier
Marisa Gloria Malone, PHD
Marisa Gloria Malone, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 922-4698.
Profile Overview
- NPI
- 1801384300
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- April 30, 2018
- Last Updated
- November 04, 2020
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4698
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1801384300
- Entity Type
- Individual
- Last Name
- Malone
- First Name
- Marisa
- Middle Name
- Gloria
- Credential
- PHD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-4698
- Mailing Fax
- (585) 922-5702
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4698
- Practice Fax
- (585) 922-5702
- Enumeration Date
- April 30, 2018
- Last Updated
- November 04, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)