Provider Demographics
NPI:1184654378
Name:ASHMAN, TERESA (PHD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:
Last Name:ASHMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-5531
Mailing Address - Country:US
Mailing Address - Phone:646-627-9963
Mailing Address - Fax:
Practice Address - Street 1:715 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-5531
Practice Address - Country:US
Practice Address - Phone:646-627-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013028-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist