Individual
DR. GWENDOLYN JOY ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7811 TAMARRON CT, ATASCOCITA, TX 77346-1509
(812) 989-0532
Mailing address
7811 TAMARRON CT, ATASCOCITA, TX 77346-1509
(812) 989-0532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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