Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Basavanth Malladi

Individual provider Clinical Psychologist · NPI 1811666175

Basavanth Malladi is a Clinical Psychologist in FPO, Armed Forces Pacific. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Psc 476 Box 25
FPO, AP 96322-0001
Phone: (315) 252-2071

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 12970271-2501 (UT)

Record details

NPI number1811666175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing addressPsc 476 Box 25, Fpo, AP 96322-0001

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