Christina Malone, M.S., C.C.C.

Individual provider Active NPI Speech-Language Pathologist · West Sand Lake, NY

NPI 1598088940 · NPPES record last updated Mar 27, 2013

Key facts

NPI
1598088940
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
002544 (NY)
Practice address
12 Parker Rd
West Sand Lake, NY 12196-2611
Phone
(518) 283-4838
Fax
(518) 283-4838
NPI assigned
Mar 12, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 002544 NY Yes

Addresses

Primary practice location

12 Parker Rd
West Sand Lake, NY 12196-2611

Mailing address

12 Parker Rd
West Sand Lake, NY 12196-2611
Phone (518) 283-4838

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2013.

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1598088940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PARKER RD",
            "city": "WEST SAND LAKE",
            "state": "NY",
            "postal_code": "121962611",
            "telephone_number": "518-283-4838",
            "fax_number": "518-283-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARKER RD",
            "city": "WEST SAND LAKE",
            "state": "NY",
            "postal_code": "121962611",
            "telephone_number": "518-283-4838",
            "fax_number": "518-283-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "M.S., C.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "002544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sand Lake, NY

All providers in West Sand Lake, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.