Individual
DR. MARILYN MALKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2460 FAIRMOUNT BLVD, SUITE 320, CLEVELAND HEIGHTS, OH 44106-3164
(440) 779-6773
(216) 231-7235
Mailing address
2460 FAIRMOUNT BLVD, SUITE 320, CLEVELAND HEIGHTS, OH 44106-3164
(440) 779-6773
(216) 231-7235
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3385
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000146423
ANTHEM
OH
01
—
81364
QUALCHOICE
OH
Enumeration date
10/26/2006
Last updated
07/08/2007
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