Individual
DR. MICHAEL A ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
501 S WASHINGTON ST, SWAYZEE, IN 46986-9578
(765) 661-1995
(888) 419-8515
Mailing address
501 S WASHINGTON ST, SWAYZEE, IN 46986-9578
(765) 661-1995
(888) 419-8515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20090231A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11590722
CAQH
IN
05
—
200167170A
—
IN
01
—
33237
NATIONAL REGISTRY OF HEALTH SERVICE PSYCHOLOGISTS
IN
Enumeration date
05/23/2005
Last updated
02/27/2013
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