Provider Demographics
NPI:1497430722
Name:MALINSKE, DEIRDRE (LMHC)
Entity Type:Individual
Prefix:
First Name:DEIRDRE
Middle Name:
Last Name:MALINSKE
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 1:252 VLY ATWOOD RD
Mailing Address - Street 2:
Mailing Address - City:STONE RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12484-5235
Mailing Address - Country:US
Mailing Address - Phone:845-419-8315
Mailing Address - Fax:
Practice Address - Street 1:252 VLY ATWOOD RD
Practice Address - Street 2:
Practice Address - City:STONE RIDGE
Practice Address - State:NY
Practice Address - Zip Code:12484-5235
Practice Address - Country:US
Practice Address - Phone:845-419-8315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health