Doctor Name: | MISS ASHLEY M PERUSHEK |
NPI Number: | 1225301906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | W175n11120 Stonewood Dr Germantown, WI - 530226511 |
Business Phone Number: | 2623455560 |
Business Fax Number: | 2622939737 |
Mailing Address: | W175n11120 Stonewood Dr, GERMANTOWN |
State: | WI |
Postal Code: | 530226511 |
Phone Number: | 2623455560 |
Fax Number: | 2622939737 |
NPI Enumeration Date: | 02/11/2012 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |