Provider Demographics
NPI:1215000336
Name:MALCOLM, ALLISON ANN MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ANN MARIE
Last Name:MALCOLM
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 1:6655 SYKESVILE RD
Mailing Address - Street 2:SPRINGFIELD HOSPITAL
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-0249
Mailing Address - Country:US
Mailing Address - Phone:410-690-7294
Mailing Address - Fax:
Practice Address - Street 1:6655 SYKESVILE RD
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-0249
Practice Address - Country:US
Practice Address - Phone:410-690-7294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00652732084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry