Individual
DR. MALKIE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
37 REID AVE, PASSAIC, NJ 07055-3510
(917) 975-3696
Mailing address
37 REID AVE, PASSAIC, NJ 07055-3510
(917) 975-3696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024622
NY
103T00000X
Psychologist
042668
NJ
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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