Provider Demographics
NPI:1437614708
Name:PRINGLE-MALETTA, CATHY (CADC)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:PRINGLE-MALETTA
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:PRINGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 N HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-4648
Mailing Address - Country:US
Mailing Address - Phone:641-682-2800
Mailing Address - Fax:641-682-2826
Practice Address - Street 1:102 N HANCOCK ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-4648
Practice Address - Country:US
Practice Address - Phone:641-682-2800
Practice Address - Fax:641-682-2826
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05120101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)