Provider Demographics
NPI:1235326570
Name:MALONEY, RONALD DAVID (MASTERS OF SOCIAL WE)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:DAVID
Last Name:MALONEY
Suffix:
Gender:M
Credentials:MASTERS OF SOCIAL WE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1411 E 31ST STREET
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602
Mailing Address - Country:US
Mailing Address - Phone:510-437-6471
Mailing Address - Fax:510-437-4613
Practice Address - Street 1:15400 FOOTHILL BLVD
Practice Address - Street 2:BLG C-1
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578
Practice Address - Country:US
Practice Address - Phone:510-895-4336
Practice Address - Fax:510-895-4333
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical