| Doctor Name: | MRS. MARTHA JANE MALANA |
| NPI Number: | 1023277035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,ATR-BC,LCAT,LPC |
| License Number: | 37PC00371700 |
| Business Practice Address: | 221 Palisade Ave Jersey City, NJ - 073061110 |
| Business Phone Number: | 9146738785 |
| Business Fax Number: | |
| Mailing Address: | 221 Palisade Ave, JERSEY CITY |
| State: | NJ |
| Postal Code: | 073061110 |
| Phone Number: | 9146738785 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2008 |
| NPI Last Update Date: | 06/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00371700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |