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Individual

DR. ASHLEY ISAIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
370 SELBY AVE STE 216, SAINT PAUL, MN 55102-1905
(651) 964-2020
Mailing address
370 SELBY AVE STE 216, SAINT PAUL, MN 55102-1905
(651) 964-2020

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP6812
MN
103TC0700X
Clinical Psychologist
LP6812
MN

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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