MEDICARE: MRS. COLLEEN MARGARET MALONEY M.S. CCC-SLP

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	05250	MD

General Provider Information

NPI Number	:	1629224803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. COLLEEN MARGARET MALONEY M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	7300 KNOLLWOOD RD
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21286-7904
Country	:	US
Telephone Number	:	410-800-4360
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 N ROCK GLEN RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21229-3250
Country	:	US
Telephone Number	:	410-646-2100
Fax Number	:

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

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	08/07/2008

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Directions to “ MRS. COLLEEN MARGARET MALONEY M.S. CCC-SLP” Practice Location

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