Provider Demographics
NPI:1275051195
Name:MALOY, VALLI (MS)
Entity Type:Individual
Prefix:
First Name:VALLI
Middle Name:
Last Name:MALOY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:VALLI
Other - Middle Name:
Other - Last Name:MALOY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:600 TIMBER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4303
Mailing Address - Country:US
Mailing Address - Phone:801-358-6636
Mailing Address - Fax:
Practice Address - Street 1:5116 N PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2077
Practice Address - Country:US
Practice Address - Phone:405-943-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor