Provider Demographics
NPI:1326027566
Name:ASCHEMAN, PHILIP LAWRENCE
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:LAWRENCE
Last Name:ASCHEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7177 HICKMAN RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4844
Mailing Address - Country:US
Mailing Address - Phone:515-253-0566
Mailing Address - Fax:515-253-0616
Practice Address - Street 1:7177 HICKMAN RD
Practice Address - Street 2:SUITE 12
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-4844
Practice Address - Country:US
Practice Address - Phone:515-253-0566
Practice Address - Fax:515-253-0616
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00687103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0093740-HPMedicaid
IA0093740-HPMedicaid