Provider Demographics
NPI:1639503931
Name:MALCHIODI, CLARE A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:A
Last Name:MALCHIODI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:A
Other - Last Name:HENCHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4630 THELMA AVE
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-9579
Mailing Address - Country:US
Mailing Address - Phone:609-829-2755
Mailing Address - Fax:609-829-2755
Practice Address - Street 1:4630 THELMA AVE
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-9579
Practice Address - Country:US
Practice Address - Phone:609-829-2755
Practice Address - Fax:609-829-2755
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00369700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional