Individual
ASHURINA REAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20403 N LAKE PLEASANT RD # 117-134, PEORIA, AZ 85382-9702
(248) 534-0232
(866) 447-7727
Mailing address
20403 N LAKE PLEASANT RD # 117-134, PEORIA, AZ 85382-9702
(248) 534-0232
(866) 447-7727
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4590
AZ
103TC0700X
Clinical Psychologist
6301015147
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4590
LICENSE #
AZ
01
—
6301015147
LICENSE #
MI
Enumeration date
09/21/2012
Last updated
12/01/2017
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