Provider Demographics
NPI:1336813849
Name:ASCHEMAN JONES, THERESA LYNN (PSYD)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:LYNN
Last Name:ASCHEMAN JONES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6783 S WATERWAY DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3743
Mailing Address - Country:US
Mailing Address - Phone:305-409-5261
Mailing Address - Fax:
Practice Address - Street 1:18680 SW 376TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33034-6304
Practice Address - Country:US
Practice Address - Phone:786-349-6108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-07
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY9756103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical