Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVY J MALLISHAM, PSY.D.
Active Sole ProprietorDR. IVY J MALLISHAM, PSY.D. is a Clinical Psychologist healthcare provider located in COLUMBUS, Georgia. NPI 1689653743 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · COLUMBUS, GA
Registration Details
- NPI Number
- 1689653743
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2006 (20.551315205356 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PSY001132 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5041 WARM SPRINGS RDSUITE BCOLUMBUS, GA, 319096938Browse GA providers · Browse ZIP 31909
- Phone
- 7065699199
- Fax
- 7065698990
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in COLUMBUS, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ANGELA MARQUIS SIMS | PHD | 1225034846 |
| DR. ROGER EARL ENFIELD | PHD | 1578556668 |
| DR. JOHN CALVIN PARMER | PSY.D. | 1417940511 |
| DR. MICHAEL DAVID MARTI | PSY.D. | 1598790347 |
| DR. WILLIAM L CANDLER JR. | PHD | 1033216916 |
| DR. MARK WISE | PSY.D. | 1477645471 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.