Provider Demographics
NPI:1295173888
Name:MALIK, SHONDA ADAIR (MT-BC)
Entity type:Individual
Prefix:MRS
First Name:SHONDA
Middle Name:ADAIR
Last Name:MALIK
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8011 PARADISE CV
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8949
Mailing Address - Country:US
Mailing Address - Phone:513-759-2393
Mailing Address - Fax:513-759-9093
Practice Address - Street 1:8011 PARADISE CV
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-8949
Practice Address - Country:US
Practice Address - Phone:513-759-2393
Practice Address - Fax:513-759-9093
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist