Provider Demographics
NPI:1700200136
Name:NOKES-MALACH, SARAH HELEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HELEN
Last Name:NOKES-MALACH
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 1:5701 CENTRE AVE
Mailing Address - Street 2:SUITE L4
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3744
Mailing Address - Country:US
Mailing Address - Phone:585-730-9076
Mailing Address - Fax:
Practice Address - Street 1:5701 CENTRE AVE
Practice Address - Street 2:SUITE L4
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3744
Practice Address - Country:US
Practice Address - Phone:585-730-9076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017450103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist