Christiansen, Ashley Kaye
Christiansen, Ashley Kaye is an sole proprietor health care provider with primary practice located at 1675 E Seminole St Ste A1 , Springfield MO 65804-2454. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Christiansen, Ashley Kaye can be contacted via phone (417) 597-4309.Contact Information
Primary practice address
1675 E Seminole St Ste A1
Springfield MO 65804-2454
Phone: (417) 597-4309
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 05107 | Maryland |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 05107 | Maryland |
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 05107 | Maryland |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2016004271 | Missouri |
Profile Details
NPI number | 1497002513 |
---|---|
LBN Legal business name | Christiansen, Ashley Kaye |
Credentials | PH.D., LP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 8th, 2012 |
Last updated | Mar 22nd, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497002513 | NPPES |
Missouri | MEDICAID | 490029638 |
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