BASAVANTH MALLADI

Clinical Psychologist

NPI: 1811666175Individual

Specialties, Licenses & Credentials

Clinical PsychologistPrimary

Psychologist — Clinical

Code: 103TC0700X

12970271-2501(UT)

Contact & Hours

Address: PSC 476 BOX 25
FPO, AP 96322
Phone: (315) 252-2071

Location

Practice Location

PSC 476 BOX 25, FPO, AP

Quick Facts

NPI: 1811666175
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile