Doctor Name: | ALICE DELACROIX MALTBIE |
NPI Number: | 1003920752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.H.C. |
License Number: | 000020-1 |
Business Practice Address: | 560 Delaware Ave Albany, NY - 122091415 |
Business Phone Number: | 5184636582 |
Business Fax Number: | |
Mailing Address: | 518 Huron Rd, DELMAR |
State: | NY |
Postal Code: | 120542606 |
Phone Number: | 5184636582 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000020-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |