Ashley, Deidre

Ashley, Deidre is an sole proprietor health care provider with primary practice located at 640 E Broadway Ave , Jackson WY 83001-8642. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Day Training, Developmentally Disabled Services, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ashley, Deidre can be contacted via phone (307) 733-2046.

Contact Information

Primary practice address
640 E Broadway Ave Jackson WY 83001-8642
Phone: (307) 733-2046
Fax: (307) 733-6289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 785 Wyoming
Agencies / Day Training, Developmentally Disabled Services 251C00000X Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X 785 Wyoming

Profile Details

NPI number 1992038079
LBN Legal business name Ashley, Deidre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2009
Last updated Feb 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers