| Doctor Name: | DR. ELSA KRAVITZ MALMUD |
| NPI Number: | 1770791048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PS-002996-L |
| Business Practice Address: | 971 Frazier Rd Rydal, PA - 190462407 |
| Business Phone Number: | 2158850756 |
| Business Fax Number: | |
| Mailing Address: | 971 Frazier Rd, RYDAL |
| State: | PA |
| Postal Code: | 190462407 |
| Phone Number: | 2158850756 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PS-002996-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |