Eastman, Malynda
Eastman, Malynda is an sole proprietor health care provider with primary practice located at 2055 Kellogg Ave Fl 2 , Corona CA 92879-3111. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eastman, Malynda can be contacted via phone (951) 898-7148.Contact Information
Primary practice address
2055 Kellogg Ave Fl 2
Corona CA 92879-3111
Phone: (951) 898-7148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS12486 | California |
Profile Details
| NPI number | 1114358611 |
|---|---|
| LBN Legal business name | Eastman, Malynda |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2013 |
| Last updated | Oct 5th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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