Doctor Name: | MALINDA WORLEY |
NPI Number: | 1952792186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 7930 Nittany Valley Dr Mill Hall, PA - 177518805 |
Business Phone Number: | 5707264592 |
Business Fax Number: | |
Mailing Address: | 1029 Maple Ave, LAKE CITY |
State: | PA |
Postal Code: | 164232529 |
Phone Number: | 8144403721 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2015 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |