Provider Demographics
NPI:1871135657
Name:MALOY, MARLA DENISE
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:DENISE
Last Name:MALOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARLA
Other - Middle Name:DENISE
Other - Last Name:BELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35068 COUNTY STREET 2720
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-2390
Mailing Address - Country:US
Mailing Address - Phone:405-638-4556
Mailing Address - Fax:
Practice Address - Street 1:35068 COUNTY STREET 2720
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-2390
Practice Address - Country:US
Practice Address - Phone:405-638-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-13
Last Update Date:2019-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator