| Doctor Name: | PROF. BETH A O'MALLEY |
| NPI Number: | 1285961235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW, ACSW |
| License Number: | 007172 |
| Business Practice Address: | 13 Arcadia Rd Suite 17 Old Greenwich, CT - 068701742 |
| Business Phone Number: | 2034425279 |
| Business Fax Number: | |
| Mailing Address: | 13 Arcadia Rd, Suite 17 OLD GREENWICH |
| State: | CT |
| Postal Code: | 068701742 |
| Phone Number: | 2034425279 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2009 |
| NPI Last Update Date: | 12/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 007172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |