Provider Demographics
NPI:1770901795
Name:MEHRA, ASHWIN (PHD)
Entity type:Individual
Prefix:DR
First Name:ASHWIN
Middle Name:
Last Name:MEHRA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-2414
Mailing Address - Country:US
Mailing Address - Phone:516-566-3950
Mailing Address - Fax:516-485-0264
Practice Address - Street 1:135 MAIN ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-2414
Practice Address - Country:US
Practice Address - Phone:516-566-3950
Practice Address - Fax:516-485-0264
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020626103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical