Provider Demographics
NPI:1396473690
Name:GEERTS-PERRY, ASHLEY THERESA (PHD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:THERESA
Last Name:GEERTS-PERRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:THERESA
Other - Last Name:GEERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11601 LAGO VIS W APT 1339
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6815
Mailing Address - Country:US
Mailing Address - Phone:505-220-0937
Mailing Address - Fax:
Practice Address - Street 1:9705 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-5441
Practice Address - Country:US
Practice Address - Phone:214-915-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-13
Last Update Date:2022-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling