Provider Demographics
NPI:1629348206
Name:DR ASHLEY & ASSOCIATES LLC
Entity Type:Organization
Organization Name:DR ASHLEY & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-329-5800
Mailing Address - Street 1:75-5744 ALII DR
Mailing Address - Street 2:SUITE 237
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1784
Mailing Address - Country:US
Mailing Address - Phone:808-329-5800
Mailing Address - Fax:808-329-4800
Practice Address - Street 1:75-5744 ALII DR
Practice Address - Street 2:SUITE 237
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1740
Practice Address - Country:US
Practice Address - Phone:808-329-5800
Practice Address - Fax:808-329-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-386103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty