| Organization Name: | ASHLEY PROFESSIONAL HOME SERVICES |
| NPI Number: | 1265668214 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WANDA I MEDINA (CLINIC DIRECTOR) |
| Mailing Address: | 183 Ave Universidad Interamerica Ste 204 San German |
| State: | PR US |
| Postal Code: | 006834459 |
| Phone Number: | 7878928868 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2009 |
| NPI Last Update Date: | 06/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 1879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |