Provider Demographics
NPI:1952449225
Name:MALEC, ELAINE A (PHD)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:A
Last Name:MALEC
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 1:195 CROWE AVE
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-3303
Mailing Address - Country:US
Mailing Address - Phone:724-772-4949
Mailing Address - Fax:724-625-4950
Practice Address - Street 1:195 CROWE AVE
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3303
Practice Address - Country:US
Practice Address - Phone:724-772-4949
Practice Address - Fax:724-625-4950
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2023-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007944L103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000853464OtherHIGHMARK BCBS ID
PA07266776Medicaid
PA0000853464Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID