Provider Demographics
NPI:1023277035
Name:MALANA, MARTHA JANE (MA,ATR-BC,LCAT,LPC)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:JANE
Last Name:MALANA
Suffix:
Gender:F
Credentials:MA,ATR-BC,LCAT,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1110
Mailing Address - Country:US
Mailing Address - Phone:914-673-8785
Mailing Address - Fax:
Practice Address - Street 1:221 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1110
Practice Address - Country:US
Practice Address - Phone:914-673-8785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00371700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional