=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972810919
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRISTIN ANDREA MALONEY LPCMH, NCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/13/2010
-----------------------------------------------------
Last Update Date | 09/13/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2055 LIMESTONE ROAD SUITE # 109 (NEW PERSPECTIVES, INC.)
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19808-5536
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-489-0220
-----------------------------------------------------
Fax | 302-489-0223
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2055 LIMESTONE ROAD SUITE # 109 (NEW PERSPECTIVES, INC.)
-----------------------------------------------------
City | WILMINGTON
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 302-489-0220
-----------------------------------------------------
Fax | 302-489-0223
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | PC-0000509
-----------------------------------------------------
License Number State | DE
-----------------------------------------------------