Deirdre Malinske, LMHC

Individual provider Active NPI Mental Health Counselor · Stone Ridge, NY

NPI 1497430722 · NPPES record last updated Jun 15, 2023

Key facts

NPI
1497430722
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
013590 (NY)
Practice address
252 Vly Atwood Rd
Stone Ridge, NY 12484-5235
Phone
(845) 419-8315
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
013590NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 013590 NY Yes

Addresses

Primary practice location

252 Vly Atwood Rd
Stone Ridge, NY 12484-5235

Mailing address

252 Vly Atwood Rd
Stone Ridge, NY 12484-5235
Phone (845) 419-8315

Other providers in Stone Ridge, NY

All providers in Stone Ridge, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.