Provider Demographics
NPI:1851839229
Name:GASKIN, ASHLY LOUISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ASHLY
Middle Name:LOUISE
Last Name:GASKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ASHLY
Other - Middle Name:LOUISE
Other - Last Name:GASKIN-WASSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:510 MEADOWMONT VILLAGE CIR
Mailing Address - Street 2:BOX 207
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7584
Mailing Address - Country:US
Mailing Address - Phone:919-504-4220
Mailing Address - Fax:
Practice Address - Street 1:421 MEADOWMONT VILLAGE CIR
Practice Address - Street 2:SUITE 421
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7506
Practice Address - Country:US
Practice Address - Phone:919-504-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5047103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent