Provider Demographics
NPI:1033284252
Name:MALKIN, CATHERINE M (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:MALKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 N HIGH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2381
Mailing Address - Country:US
Mailing Address - Phone:614-505-6949
Mailing Address - Fax:614-505-6558
Practice Address - Street 1:7100 N HIGH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2381
Practice Address - Country:US
Practice Address - Phone:614-505-6949
Practice Address - Fax:614-505-6558
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5577103TC0700X
MA6006103TC0700X
MI6301008392103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical