Provider Demographics
NPI:1851681019
Name:MALAFARINA, CONNIE I (MA)
Entity Type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:I
Last Name:MALAFARINA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 N 6TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3668
Mailing Address - Country:US
Mailing Address - Phone:610-373-4281
Mailing Address - Fax:610-373-3779
Practice Address - Street 1:35 N 6TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3668
Practice Address - Country:US
Practice Address - Phone:610-373-4281
Practice Address - Fax:610-373-3779
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health