Provider Demographics
NPI:1336311265
Name:MALVEY, LAURA STOWE (MSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:STOWE
Last Name:MALVEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WENTWORTH DR
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-9733
Mailing Address - Country:US
Mailing Address - Phone:802-878-4990
Mailing Address - Fax:802-878-1477
Practice Address - Street 1:921 FIRST COLONIAL RD STE 1707
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3167
Practice Address - Country:US
Practice Address - Phone:757-685-4453
Practice Address - Fax:757-512-5714
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical