MEDICARE: ANNA MALONEY SLP/CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7792	MA

General Provider Information

NPI Number	:	1184942666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MALONEY SLP/CCC

Provider Business Mailing Address
First Line	:	58 FOREST ST
Second Line	:
City	:	SOUTH HAMILTON
State	:	MA
Zip	:	01982-2513
Country	:	US
Telephone Number	:	781-241-5458
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 FOREST ST
Second Line	:
City	:	SOUTH HAMILTON
State	:	MA
Zip	:	01982-2513
Country	:	US
Telephone Number	:	781-241-5458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2010
Last Update Date	:	01/12/2021

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Directions to “ ANNA MALONEY SLP/CCC” Practice Location

Language	Start Address	Practice Location

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