Provider Demographics
NPI:1720023740
Name:MALONEY, CACINDA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:CACINDA
Middle Name:LYNN
Last Name:MALONEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:CACINDA
Other - Middle Name:LYNN
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2525 E THOMAS 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-955-2858
Mailing Address - Fax:602-955-5522
Practice Address - Street 1:2525 E THOMAS 1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-955-2858
Practice Address - Fax:602-955-5522
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5176111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor