Provider Demographics
NPI:1356656821
Name:ASHLEY FAMILY SERVICES, PLLC
Entity Type:Organization
Organization Name:ASHLEY FAMILY SERVICES, PLLC
Other - Org Name:ASHLEY FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:MONEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-368-2278
Mailing Address - Street 1:38 E 100 N STE B
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2122
Mailing Address - Country:US
Mailing Address - Phone:435-781-8000
Mailing Address - Fax:435-781-8001
Practice Address - Street 1:38 E 100 N STE B
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2122
Practice Address - Country:US
Practice Address - Phone:435-781-8000
Practice Address - Fax:435-781-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT15408251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health