Individual
DR. NICOLA A ROACHE ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
636 CHURCH ST, SUITE 301A, EVANSTON, IL 60201-4508
(847) 269-0069
(312) 746-4491
Mailing address
30 E HURON ST APT 1401, CHICAGO, CHICAGO, IL 60611-2715
(847) 269-0069
(847) 328-4838
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3617849901
—
IL
Enumeration date
01/03/2007
Last updated
04/24/2017
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