Individual
DR. ASHLEY KAYE CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
1675 E SEMINOLE ST STE A1, SPRINGFIELD, MO 65804-2454
(417) 597-4309
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
05107
MD
103TC0700X
Clinical Psychologist
Primary
2016004271
MO
103TF0200X
Forensic Psychologist
05107
MD
103TM1800X
Intellectual & Developmental Disabilities Psychologist
05107
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490029638
—
MO
Enumeration date
08/08/2012
Last updated
03/22/2019
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