Smith, Ashley Michelle
Smith, Ashley Michelle is an sole proprietor health care provider with primary practice located at 560 N Kimball Ave Ste 130 , Southlake TX 76092-6879. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Smith, Ashley Michelle can be contacted via phone (817) 488-0502.Contact Information
Primary practice address
560 N Kimball Ave Ste 130
Southlake TX 76092-6879
Phone: (817) 488-0502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 38483 | Texas |
Profile Details
| NPI number | 1861976771 |
|---|---|
| LBN Legal business name | Smith, Ashley Michelle |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2018 |
| Last updated | May 15th, 2020 - 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 | 1861976771 | NPPES |
| Ohio | MEDICAID | 1473276 |
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