Provider Demographics
NPI:1972318004
Name:MALONE, YVONNE MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARIE
Last Name:MALONE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:MARIE
Other - Last Name:MALONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:35 TODD ST UNIT 206
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-1547
Mailing Address - Country:US
Mailing Address - Phone:860-221-4460
Mailing Address - Fax:
Practice Address - Street 1:35 TODD ST UNIT 206
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-1547
Practice Address - Country:US
Practice Address - Phone:860-221-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-2603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist