MEDICARE: DR. MARY M MALONEY M.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	2084P0800X	Psychiatry Physician	01032404A	IN

General Provider Information

NPI Number	:	1225144629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY M MALONEY M.D.

Provider Business Mailing Address
First Line	:	2821 EMERALD LAKE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-2403
Country	:	US
Telephone Number	:	260-490-8110
Fax Number	:	260-490-7707

Provider Business Practice Location Address
First Line	:	310 E DUPONT RD
Second Line	:	SUITE 2
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-2048
Country	:	US
Telephone Number	:	260-490-8110
Fax Number	:	260-490-7707

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1902856610 — FORT WAYNE CHIROPRACTIC, INC.
Practice Location Address:

340 E DUPONT RD
FORT WAYNE, IN
46825-2048

Practice Phone: 260-489-6019
Practice Fax: 260-489-6136

1114935137 — MS. LUCILLE MARIE ISAACS LCSW LMFT
Practice Location Address:

310 E DUPONT RD , SUITE 2
FORT WAYNE, IN
46825-2048

Practice Phone: 260-490-8110
Practice Fax: 260-490-7707

1265578405 — ODYSSEY HEALTHCARE OPERATING A LP
Practice Location Address:

312 E DUPONT ROAD , SUITE 200
FORT WAYNE, IN
46825-2048

Practice Phone: 260-490-3330
Practice Fax: 260-490-3333

1477722197 — HERBERT P. TRIER, M.D.
Practice Location Address:

310 E DUPONT RD , SUITE 2
FORT WAYNE, IN
46825-2048

Practice Phone: 260-490-8110
Practice Fax: 260-490-7707

1689632804 — TANYA LAURETTE GREEN MSW
Practice Location Address:

310 E DUPONT RD
FT WAYNE, IN
46825-2048

Practice Phone: 260-490-8110
Practice Fax: 260-490-7707

1649949892 — ADVANCE CARE SERVICES FTW LLC
Practice Location Address:

8196 COMMUNITY LN
FORT WAYNE, IN
46819-2048

Practice Phone: 260-467-9649
Practice Fax:

Directions to “ DR. MARY M MALONEY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.