Provider Demographics
NPI:1588820906
Name:MALOFEEVA, ELENA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:
Last Name:MALOFEEVA
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 1:7070 N ORACLE RD
Mailing Address - Street 2:STE 115
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4338
Mailing Address - Country:US
Mailing Address - Phone:520-873-8562
Mailing Address - Fax:888-851-7021
Practice Address - Street 1:7070 N ORACLE RD
Practice Address - Street 2:STE 115
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4338
Practice Address - Country:US
Practice Address - Phone:520-873-8562
Practice Address - Fax:888-851-7021
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4333103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist