Provider Demographics
NPI:1215405097
Name:MALPHURS, ASHLEY (MSW)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MALPHURS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BIRKMIRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:13200 W NEWBERRY RD APT S102
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2771
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13200 W NEWBERRY RD APT S102
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-2771
Practice Address - Country:US
Practice Address - Phone:352-339-3395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical