Provider Demographics
NPI:1518221571
Name:MAYLE, ASHLEY J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:J
Last Name:MAYLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:J
Other - Last Name:TULLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:435 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4410
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:435 ADAMS ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4410
Practice Address - Country:US
Practice Address - Phone:720-635-5585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004431103TC0700X
IL071009017103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical