| Doctor Name: | MR. TEARLE DEVIN ASHBY |
| NPI Number: | 1184799801 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 044927 |
| Business Practice Address: | 1758 Union St Niskayuna, NY - 123096314 |
| Business Phone Number: | 5189821274 |
| Business Fax Number: | 5189821277 |
| Mailing Address: | 4b Brookside Mdws, BALLSTON LAKE |
| State: | NY |
| Postal Code: | 120199012 |
| Phone Number: | 5186055128 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 044927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |