Elizabeth J Malcom
Mental Health Counselor
8401 Harcourt Rd
Indianapolis
, Indiana 46260-2036
Elizabeth J Malcom
Mental Health Counselor
8401 Harcourt Rd
Indianapolis
, Indiana 46260-2036
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Elizabeth J Malcom
- 10330 N Meridian St
- Indianapolis, IN
- Zip : 46290-1024
- Phone :
Second Address
- Elizabeth J Malcom
- 8401 Harcourt Rd
- Indianapolis, IN
- Zip : 46260-2036
- Fax : (317) 338-4890
- Phone : (317) 338-4600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 39002081A | IN |
National Provider Identifier
| NPI | 1003045048 |
|---|---|
| Provider Name | Elizabeth J Malcom |
| First Address | Indianapolis, IN 46290-1024 |
| Second Address | Indianapolis, IN 46260-2036 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2009 |
| Last Update Date | 13/07/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.