Individual
DR. ASHLEY J TANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10570 S FEDERAL HWY STE 300, PORT ST LUCIE, FL 34952-5606
(772) 278-5508
(772) 673-6225
Mailing address
10570 S FEDERAL HWY STE 300, PORT ST LUCIE, FL 34952-5606
(772) 278-5508
(772) 673-6225
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY11501
FL
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
PY11501
FL
103TC0700X
Clinical Psychologist
PY11501
FL
103TF0200X
Forensic Psychologist
PY11501
FL
103TH0004X
Health Psychologist
PY11501
FL
103TR0400X
Rehabilitation Psychologist
PY11501
FL
Other
Enumeration date
09/18/2013
Last updated
10/05/2023
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