Provider Demographics
NPI:1629127071
Name:DOUBRASKI, MEGHAN O'MALLEY (BS, MS)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:O'MALLEY
Last Name:DOUBRASKI
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:MICHELE
Other - Last Name:O'MALLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:398 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5196
Mailing Address - Country:US
Mailing Address - Phone:828-337-9361
Mailing Address - Fax:828-586-5450
Practice Address - Street 1:398 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5196
Practice Address - Country:US
Practice Address - Phone:828-337-9361
Practice Address - Fax:828-586-5450
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional