| Doctor Name: | AMY PERRY MALATESTA |
| NPI Number: | 1942401179 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 37PC00428000 |
| Business Practice Address: | 170 Changebridge Rd Building 3-2 Montville, NJ - 070459115 |
| Business Phone Number: | 9738007151 |
| Business Fax Number: | |
| Mailing Address: | 22 Navajo Way, ROCKAWAY |
| State: | NJ |
| Postal Code: | 078661839 |
| Phone Number: | 9736271358 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2007 |
| NPI Last Update Date: | 08/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 37PC00428000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |