Most Relevant Information
Provider Data
| NPI Number: | 1003045048 |
| Provider Name: | ELIZABETH J MALCOM LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 39002081A |
Most Important Dates
| Enumeration Date: | 07/13/2009 |
| Last Updated: | 07/13/2009 |
Provider Practice Location
8401 HARCOURT RD
INDIANAPOLIS
IN
462602036
Practice Location Phone/Fax
| Phone: | 3173384600 |
| Fax: | 3173384890 |
Provider Mailing Location
10330 N MERIDIAN ST
INDIANAPOLIS
IN
462901024
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |