Provider Demographics
NPI:1184942666
Name:MALONEY, ANNA (SLP/CCC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MALONEY
Suffix:
Gender:F
Credentials:SLP/CCC
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:SHVARTSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP/CCC
Mailing Address - Street 1:58 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-2513
Mailing Address - Country:US
Mailing Address - Phone:781-241-5458
Mailing Address - Fax:
Practice Address - Street 1:58 FOREST ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2513
Practice Address - Country:US
Practice Address - Phone:781-241-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-09
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7792235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist