Healthcare Provider Details

I. General information

NPI: 1902540792
Provider Name (Legal Business Name): PAIGE MALNOFSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 PERRY HWY
PITTSBURGH PA
15229-1819
US

IV. Provider business mailing address

1518 BROADWAY AVE
MC KEES ROCKS PA
15136-1704
US

V. Phone/Fax

Practice location:
  • Phone: 724-217-4227
  • Fax:
Mailing address:
  • Phone: 724-217-4227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: