Provider Demographics
NPI:1952575607
Name:CLINICAL & FORENSIC PSYCHOLOGICAL SERVICES, P.A.
Entity Type:Organization
Organization Name:CLINICAL & FORENSIC PSYCHOLOGICAL SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:L.
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:MALESKY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-226-1730
Mailing Address - Street 1:PO BOX 1661
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-1661
Mailing Address - Country:US
Mailing Address - Phone:828-226-1730
Mailing Address - Fax:
Practice Address - Street 1:38 MILDRED AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3116
Practice Address - Country:US
Practice Address - Phone:828-226-1730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3429103TC1900X, 103TF0200X, 103TH0100X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty