Provider Demographics
NPI:1801660691
Name:SEARS, MALKA (PHD)
Entity type:Individual
Prefix:DR
First Name:MALKA
Middle Name:
Last Name:SEARS
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 1:15 N MILL ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-3015
Mailing Address - Country:US
Mailing Address - Phone:201-639-8834
Mailing Address - Fax:201-815-4459
Practice Address - Street 1:15 N MILL ST STE 201
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3015
Practice Address - Country:US
Practice Address - Phone:201-639-8834
Practice Address - Fax:201-815-4459
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025950103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist