MEDICARE: DR. EMILY LORRAINE MALAVET PSY.D.

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	103TC0700X	Clinical Psychologist	3902	PR
2	103T00000X	Psychologist	PY12015	FL

General Provider Information

NPI Number	:	1689966988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY LORRAINE MALAVET PSY.D.

Provider Business Mailing Address
First Line	:	3625 ATRIUM DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-3744
Country	:	US
Telephone Number	:	787-601-5604
Fax Number	:	787-837-4742

Provider Business Practice Location Address
First Line	:	3625 ATRIUM DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-3744
Country	:	US
Telephone Number	:	787-601-5604
Fax Number	:	787-837-4742

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

Provider Enumeration Date	:	05/05/2011
Last Update Date	:	03/17/2026

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