Brian Ashley, Ma, Plc | |
100 Main St Ofc 14 Burlington VT 05401-8475 | |
(802) 989-6839 | |
Not Available |
Full Name | Brian Ashley, Ma, Plc |
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Speciality | Psychologist |
Location | 100 Main St Ofc 14, Burlington, Vermont |
Authorized Official Name and Position | Brian Ashley (OWNER) |
Authorized Official Contact | 8029896839 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brian Ashley, Ma, Plc 409 Lawnwood Dr Williston VT 05495-5227 Ph: () - | Brian Ashley, Ma, Plc 100 Main St Ofc 14 Burlington VT 05401-8475 Ph: (802) 989-6839 |
NPI Number | 1851809099 |
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Provider Enumeration Date | 01/22/2018 |
Last Update Date | 04/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851809099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 047.0111342 (Vermont) | Primary |
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