Mallach, Diane

Mallach, Diane is an individual health care provider with primary practice located at 50 Newark Ave #306, Belleville NJ 07109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mallach, Diane can be contacted via phone (973) 450-0220.

Contact Information

Primary practice address
50 Newark Ave #306 Belleville NJ 07109
Phone: (973) 450-0220
Fax: (973) 450-0162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00284200 New Jersey

Profile Details

NPI number 1508966417
LBN Legal business name Mallach, Diane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508966417 NPPES
Other 7081448 AETNA
Other P3470927 AETNA

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