Provider Demographics
NPI:1083800106
Name:MALOY, ALYSON (MD)
Entity type:Individual
Prefix:DR
First Name:ALYSON
Middle Name:
Last Name:MALOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-4928
Mailing Address - Country:US
Mailing Address - Phone:207-222-3021
Mailing Address - Fax:207-536-0334
Practice Address - Street 1:735 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-4928
Practice Address - Country:US
Practice Address - Phone:207-222-3021
Practice Address - Fax:207-536-0334
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2400822084N0400X, 2084P0800X
MEMD191472084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry