| Doctor Name: | DR. ASHLEY HEINTZELMAN WIEDENMEYER |
| NPI Number: | 1003192881 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | POST-DOC SUPERVISEE |
| Business Practice Address: | 7507 Sagamore Rd Prairie Village, KS - 662083613 |
| Business Phone Number: | 9134886288 |
| Business Fax Number: | |
| Mailing Address: | 7507 Sagamore Rd, PRAIRIE VILLAGE |
| State: | KS |
| Postal Code: | 662083613 |
| Phone Number: | 9134886288 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2011 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | POST-DOC SUPERVISEE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |