Provider Demographics
NPI:1356955306
Name:SALTER, ASHLEY (PSYD, HSP)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:SALTER
Suffix:
Gender:F
Credentials:PSYD, HSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5721 MARLIN RD STE 3800
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5651
Mailing Address - Country:US
Mailing Address - Phone:423-521-5678
Mailing Address - Fax:
Practice Address - Street 1:5721 MARLIN RD STE 3800
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5651
Practice Address - Country:US
Practice Address - Phone:423-521-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-06
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11955103TC0700X
TN4003103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical