Individual
DR. ASHLEY FOGARTY LASS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D, P.A.
Contact information
Practice address
2425 E HANNA AVE, TAMPA, FL 33610-1317
(813) 238-3053
Mailing address
3616 W ROLAND ST, TAMPA, FL 33609-2832
(813) 789-3709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7188
FL
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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