Healthcare Provider Details
I. General information
NPI: 1780789313
Provider Name (Legal Business Name): CLAIRE A MALFARO MA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/14/2006
Last Update Date: 09/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2917 WINDMILL RD STE 4
SINKING SPRING PA
19608-1679
US
IV. Provider business mailing address
2917 WINDMILL RD STE 4
SINKING SPRING PA
19608-1679
US
V. Phone/Fax
- Phone: 610-670-7010
- Fax: 610-670-7910
- Phone: 610-670-7010
- Fax: 610-670-7910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC002618 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: