Provider Demographics
NPI:1508113051
Name:MOLLOY, ANNE T (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:T
Last Name:MOLLOY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4177
Mailing Address - Street 2:C/O DR JAY R LUCKER
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20914-4177
Mailing Address - Country:US
Mailing Address - Phone:301-257-8533
Mailing Address - Fax:301-625-0767
Practice Address - Street 1:1004 KATHRYN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2170
Practice Address - Country:US
Practice Address - Phone:301-257-8533
Practice Address - Fax:301-625-0767
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist