Individual
DR. ASHLEY WASILEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
330 SHOUP AVE STE 206, IDAHO FALLS, ID 83402-3650
(208) 715-7551
Mailing address
330 SHOUP AVE STE 206, IDAHO FALLS, ID 83402-3650
(208) 715-7551
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
3061075
ID
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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