Provider Demographics
NPI:1245536028
Name:GARTNER, ASHLEY MEGAN (PSYD)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MEGAN
Last Name:GARTNER
Suffix:
Gender:F
Credentials:PSYD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:935W RALPH HALL PKWY 105
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-8707
Mailing Address - Country:US
Mailing Address - Phone:972-772-8484
Mailing Address - Fax:469-698-8569
Practice Address - Street 1:3010 SCOTT BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6800
Practice Address - Country:US
Practice Address - Phone:817-925-6276
Practice Address - Fax:254-773-0919
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX36158103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist