Individual
ARLENE VIDA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
68 61 YELLOWSTONE BOULEVARD, SUITE NUMBER 106, FOREST HILLS, NY 11375-3321
(718) 544-9738
Mailing address
PO BOX 670, RHINEBECK, NY 12572-0670
(845) 758-5275
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0058701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22952
GHI
NY
01
—
24251
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
12/05/2006
Last updated
07/08/2007
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