Individual provider · Type 1 NPI
Faryal J. Mallick, MD
Child & Adolescent Psychiatry Physician · Tampa, FL
NPI number
1962865097
Active
Practice location
14003 N Dale Mabry Hwy Ste C
Tampa, FL 33618-2459
Mailing address
10006 Cross Creek Blvd Ste 124
Tampa, FL 33647-2595
Other practice locations
- 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 · (270) 417-3772
- 439 SW Michigan St, Lake City, FL 32025-0440 · (386) 487-0800
- 401 E Chestnut St, Ste 600, Louisville, KY 40202-5700 · (502) 588-4865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | TP944 (KY) |
| Psychiatry Physician | 2084P0800X | 51944 (KY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | ME140149 (FL) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1962865097
Faryal J. Mallick, MD's National Provider Identifier is 1962865097, issued on Apr 5, 2016. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Tampa, FL. The record was last updated on Feb 20, 2025.