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NPI Code Detail

MEDICARE: MR. ROBERT J. MALEY L.P.C.

MEDICARE:  MR. ROBERT J. MALEY  L.P.C.
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
1101YP2500XProfessional Counselor1717CO

General Provider Information

NPI Number : 1952586141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT J. MALEY L.P.C.
Provider Business Mailing Address
First Line : 445 E CHEYENNE MOUNTAIN BLVD
Second Line : STE. C #132
City : COLORADO SPRINGS
State : CO
Zip : 80906-1528
Country : US
Telephone Number : 719-930-9664
Fax Number :
Provider Business Practice Location Address
First Line : 1322 N ACADEMY BLVD
Second Line : SUITE 107
City : COLORADO SPRINGS
State : CO
Zip : 80909-3317
Country : US
Telephone Number : 719-930-9664
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 01/07/2008

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Directions to “ MR. ROBERT J. MALEY L.P.C.” Practice Location

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