Provider Demographics
NPI:1235302324
Name:OHASHI, ALISON (PHD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:OHASHI
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 1:3514 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-1632
Mailing Address - Country:US
Mailing Address - Phone:307-433-1124
Mailing Address - Fax:307-634-9462
Practice Address - Street 1:2622 PIONEER AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3024
Practice Address - Country:US
Practice Address - Phone:307-433-1124
Practice Address - Fax:307-634-9462
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY233103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY308635Medicare UPIN