DR. IVY MALLISHAM, PSY.D.
Psychologist - Clinical
Active
Individual
NPI: 1689653743
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | PSY001132 (GA) |
Frequently Asked Questions
NPI 1689653743 is the National Provider Identifier for DR. IVY MALLISHAM, PSY.D., a Psychologist - Clinical provider located in Columbus, GA. This NPI was enumerated on January 16, 2006.
DR. IVY MALLISHAM, PSY.D. practices at 5041 WARM SPRINGS RD, SUITE B, Columbus, GA 31909.
Quick Facts
- NPI
- 1689653743
- Type
- Individual
- Enumerated
- Jan 16, 2006
- Last Updated
- Jul 9, 2007
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