Whalio Doctors

NPI 1073696449

Shirley Ann Malmay, LMTNCBTMB

Practitioner Specialist Shreveport, LA

Practice location

Address
3110 Bert Kouns #11 Industrial Loop Suite G, Shreveport, LA 71105
Phone
(318) 865-6050
Fax
(318) 686-1053
Mailing address
3110 Bert Kouns #11 Industrial Loop Suite G, Shreveport, LA 71118-2900

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence LA2861 (LA)

Registry record

NPI
1073696449
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Oct 2006
Record last updated
14 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.