Provider Demographics
NPI:1235707027
Name:MALIVUK, VALERIE (LMHC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MALIVUK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 NELSON ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-5137
Mailing Address - Country:US
Mailing Address - Phone:518-844-7303
Mailing Address - Fax:
Practice Address - Street 1:1477 NELSON ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12306-5137
Practice Address - Country:US
Practice Address - Phone:518-844-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011363-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health