Provider Demographics
NPI:1396429023
Name:MALINOWSKI-NOLDUS, BRIANNA A (PSYD)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:A
Last Name:MALINOWSKI-NOLDUS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:
Other - Last Name:MALINOWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:3288 STATE ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1450
Mailing Address - Country:US
Mailing Address - Phone:732-844-3391
Mailing Address - Fax:
Practice Address - Street 1:3288 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1450
Practice Address - Country:US
Practice Address - Phone:732-844-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00716000103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist