Provider Demographics
NPI:1164796835
Name:MALPASS, MEREDITH
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:MALPASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 TUNNEL RD.
Mailing Address - Street 2:SOCIAL WORK
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-0444
Mailing Address - Country:US
Mailing Address - Phone:828-273-1747
Mailing Address - Fax:
Practice Address - Street 1:1100 TUNNEL RD.
Practice Address - Street 2:SOCIAL WORK
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-0444
Practice Address - Country:US
Practice Address - Phone:828-273-1747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0062541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical