Individual
ASHLEY RAE SHEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(920) 433-6073
(715) 735-5388
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3740-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467839464
BOARD CERTIFICATION NATION REGISTER OF HEALTH SERVICE PSYCHOLOGISTS
—
05
—
1790731081
—
KY
Enumeration date
04/29/2015
Last updated
07/30/2020
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