Provider Demographics
NPI:1457652539
Name:JAMILE A ASHMORE PHD PLLC
Entity Type:Organization
Organization Name:JAMILE A ASHMORE PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMILE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ASHMORE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-477-9275
Mailing Address - Street 1:PO BOX 835808
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-5808
Mailing Address - Country:US
Mailing Address - Phone:972-680-1577
Mailing Address - Fax:972-690-9834
Practice Address - Street 1:825 MARKET ST
Practice Address - Street 2:250
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3769
Practice Address - Country:US
Practice Address - Phone:214-477-9275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33150103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty