Organization
JRA
Active
Organization
JRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL EDGAR ASHBY PSY.D. (PSYCHOLOGIST)
(626) 377-6844
Entity
Organization
Contact information
Practice address
5415 NW 88TH ST, SUITE 100, JOHNSTON, IA 50131-2950
(626) 377-6844
Mailing address
5415 NW 88TH ST, SUITE 100, JOHNSTON, IA 50131-2950
(626) 377-6844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001166
IA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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