Doctor Name: | ASHLEY MARIE TRUEMAN |
NPI Number: | 1023395688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2011027083 |
Business Practice Address: | 227 E Main St Festus, MO - 630281952 |
Business Phone Number: | 6363210101 |
Business Fax Number: | 6362966206 |
Mailing Address: | 227 E Main St, FESTUS |
State: | MO |
Postal Code: | 630281952 |
Phone Number: | 6363210101 |
Fax Number: | 6362966206 |
NPI Enumeration Date: | 11/10/2011 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2011027083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |