Active NPIIndividual provider

Leslie E Malkiewich, PHD

Psychologist, Clinical in Gardner, Massachusetts

NPI Number1760464697
Practice location
242 Green St, Gardner, MA 01440-1336
Fax
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Last updated
July 13, 2026

Leslie Edward Malkiewich is a Psychologist, Clinical based in Gardner, MA. Leslie Edward Malkiewich practices in Gardner, MA and has the professional credentials of PHD. The NPI Number for Leslie Edward Malkiewich is 1760464697 and holds a License No. 2577 (MA). The current practice location address for Leslie Edward Malkiewich is 242 Green St, Gardner, MA 01440-1336 and can be reached out via phone at 978-630-6377.

Provider Profile Details

NPI Number
1760464697
Provider Name
Leslie Edward Malkiewich
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
242 Green St, Gardner, MA 01440-1336
Phone Number
978-630-6377
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Green St
Gardner, MA 01440-1336
Zip
01440-1336
Phone Number
978-630-6377
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
242 Green St
Gardner, MA 01440-1336
City
Gardner
State
MA
Zip
01440-1336
Phone Number
978-630-6377

License Information

License Number
2577
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leslie E Malkiewich, PHD?

The NPI number of Leslie E Malkiewich, PHD is 1760464697. It was assigned on November 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Leslie E Malkiewich, PHD?

Leslie E Malkiewich, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 2577.

Where does Leslie E Malkiewich, PHD practice?

The practice location is 242 Green St, Gardner, MA 01440-1336. The office can be reached at 978-630-6377 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760464697 directly on the NPPES registry website.

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