Search › Georgia › Clinical Psychologist
Ivy Mallisham, PSY.D
NPI 1689653743 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5041 Warm Springs Rd
Suite B
Columbus, GA 31909 - Phone
- (706) 569-9199
- Fax
- (706) 569-8990
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia