Provider Demographics
NPI:1457498362
Name:SCHLEH, MALCOLM NELSON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MALCOLM
Middle Name:NELSON
Last Name:SCHLEH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93581-0632
Mailing Address - Country:US
Mailing Address - Phone:661-972-5338
Mailing Address - Fax:661-823-8474
Practice Address - Street 1:20412 BRIAN WAY SUITE #1
Practice Address - Street 2:SUITE 1
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561
Practice Address - Country:US
Practice Address - Phone:661-823-0661
Practice Address - Fax:661-823-8474
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10773103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical