Doctor Name: | DR. MICHAEL A ASHLEY |
NPI Number: | 1801899059 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 20090231A |
Business Practice Address: | 501 S Washington St Swayzee, IN - 469869578 |
Business Phone Number: | 7656611995 |
Business Fax Number: | 8884198515 |
Mailing Address: | 501 S Washington St, SWAYZEE |
State: | IN |
Postal Code: | 469869578 |
Phone Number: | 7656611995 |
Fax Number: | 8884198515 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 02/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20090231A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |