IVY J MALLISHAM

COLUMBUS, GA
NPI1689653743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY001132)
Enumeration Date2006-01-16
Last Update Date2007-07-09
Business Address
Dr. IVY J MALLISHAM PSY.D.
5041 WARM SPRINGS RD SUITE B
COLUMBUS, GA 31909-6938
Phone number: 706-569-9199
Mailing Address
Dr. IVY J MALLISHAM PSY.D.
5041 WARM SPRINGS RD SUITE B
COLUMBUS, GA 31909-6938
Phone number: 706-569-9199
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