Provider Demographics
NPI:1770931123
Name:MALKIN, EUGENE E (LPC)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:E
Last Name:MALKIN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:GENE
Other - Middle Name:E
Other - Last Name:MALKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:227 PERTH HILL CT
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1873
Mailing Address - Country:US
Mailing Address - Phone:646-784-2895
Mailing Address - Fax:
Practice Address - Street 1:227 PERTH HILL CT
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1873
Practice Address - Country:US
Practice Address - Phone:646-784-2895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00363600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional