Individual
DR. ASHLEY BREEDLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
901 E VAN BUREN ST, #1065, PHOENIX, AZ 85006-4007
(954) 309-5572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1358
LA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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