Organization
WAYNE R. ASHLEY, PHD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE R. ASHLEY PHD (PRESIDENT)
(815) 223-5112
Entity
Organization
Contact information
Practice address
206 MARQUETTE ST, LA SALLE, IL 61301-8863
(815) 223-5112
Mailing address
206 MARQUETTE ST, LA SALLE, IL 61301-8863
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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