Provider Demographics
NPI:1497493696
Name:ASHLEY MORGENTHAL PSYCHOLOGY
Entity Type:Organization
Organization Name:ASHLEY MORGENTHAL PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:HEATHER
Authorized Official - Last Name:MORGENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-263-9796
Mailing Address - Street 1:378 MANNING ST # 1
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3443
Mailing Address - Country:US
Mailing Address - Phone:914-263-9796
Mailing Address - Fax:
Practice Address - Street 1:378 MANNING ST # 1
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-3443
Practice Address - Country:US
Practice Address - Phone:914-263-9796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty