Provider Demographics
NPI:1689864563
Name:ASHER, EVELYN WESTERMANN (LAC, DIPLAC,PHD)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:WESTERMANN
Last Name:ASHER
Suffix:
Gender:F
Credentials:LAC, DIPLAC,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 ELTON ROAD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14469-9513
Mailing Address - Country:US
Mailing Address - Phone:585-675-4894
Mailing Address - Fax:585-657-4894
Practice Address - Street 1:41 W. MAIN ST
Practice Address - Street 2:SUITE 7
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1166
Practice Address - Country:US
Practice Address - Phone:585-880-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003510-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist