Doctor Name: | MS. TRICIA MALINOWSKI LANG |
NPI Number: | 1194923730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | |
Business Practice Address: | 950 Slater Rd. New Britain, CT - 06053 |
Business Phone Number: | 8607616694 |
Business Fax Number: | 8607616692 |
Mailing Address: | 950 Slater Rd, NEW BRITAIN |
State: | CT |
Postal Code: | 06053 |
Phone Number: | 8607616694 |
Fax Number: | 8607616692 |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |