National Provider Identifier

Mallory Elizabeth Tominich, MSW

Mallory Elizabeth Tominich, MSW is listed in the NPPES registry with a primary specialty of Counselor in Hamburg, NY and a listed phone number of (716) 646-4991.

NPI 1366914491Hamburg, NYCounselor

Profile Overview

NPI
1366914491
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
December 31, 2018
Last Updated
December 31, 2018

Practice Location

  • 140 Pine Street
  • Hamburg, NY 14075

Phone: (716) 646-4991

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1366914491
Entity Type
Individual
Last Name
Tominich
First Name
Mallory
Middle Name
Elizabeth
Credential
MSW
Mailing Street Address
140 Pine Street
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075
Mailing Country
US
Mailing Phone
(716) 646-4991
Mailing Fax
(716) 464-4990
Practice Street Address
140 Pine Street
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075
Practice Country
US
Practice Phone
(716) 646-4991
Practice Fax
(716) 464-4990
Enumeration Date
December 31, 2018
Last Updated
December 31, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)