NPI 1003045048

Elizabeth J Malcom, LMHC

Practitioner Mental Health Counselor Indianapolis, IN

Practice location

Address: 8401 Harcourt Rd, Indianapolis, IN 46260-2036
Phone: (317) 338-4600
Fax: (317) 338-4890
Mailing address: 10330 N Meridian St, Indianapolis, IN 46290-1024

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 39002081A (IN)

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Registry record

NPI: 1003045048
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2009
Record last updated: 13 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.