Provider Demographics
NPI:1356479851
Name:MALARCHICK, EARL PETER (PHD)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:PETER
Last Name:MALARCHICK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:769 OSBORNE ST
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-1805
Mailing Address - Country:US
Mailing Address - Phone:559-584-8456
Mailing Address - Fax:559-584-8456
Practice Address - Street 1:800 GRAND AVE
Practice Address - Street 2:STE C8A
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1805
Practice Address - Country:US
Practice Address - Phone:760-434-2290
Practice Address - Fax:760-434-2290
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 17851103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical