Dr. IVY J MALLISHAM -- PSY.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1689653743- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PSY.D.
- Status
- Active
Contact & Location
- Address
- 5041 WARM SPRINGS RD SUITE B, COLUMBUS, GA, 319096938
- Phone
- (706) 569-9199
- Fax
- (706) 569-8990
Specialties & Taxonomies
Psychologist, Clinical
Primary License: GA #PSY001132