Doctor Name: | MARY BETH MALOLEPSZY |
NPI Number: | 1750705141 |
Entity Type Code: | Individual (1) |
Gender: | F |
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License Number: | |
Business Practice Address: | 14540 Co. Rd. 6 Metamora, OH - 43540 |
Business Phone Number: | 4196442951 |
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Mailing Address: | 14540 Co. Rd. 6, METAMORA |
State: | OH |
Postal Code: | 43540 |
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Fax Number: | |
NPI Enumeration Date: | 02/06/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
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NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |