Healthcare Provider Details

I. General information

NPI: 1669222923
Provider Name (Legal Business Name): NEDDA MALIK MSCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4055 MONROEVILLE BLVD STE 300
MONROEVILLE PA
15146-2522
US

IV. Provider business mailing address

312 CARRIAGE BLVD
PITTSBURGH PA
15239-3611
US

V. Phone/Fax

Practice location:
  • Phone: 412-414-9916
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: