Provider Demographics
NPI:1881800498
Name:ASHER, I. JAY (LMHC)
Entity type:Individual
Prefix:DR
First Name:I.
Middle Name:JAY
Last Name:ASHER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 BAYVIEW DRIVE
Mailing Address - Street 2:SUITE 517
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2522
Mailing Address - Country:US
Mailing Address - Phone:954-565-1901
Mailing Address - Fax:
Practice Address - Street 1:1040 BAYVIEW DR
Practice Address - Street 2:SUITE 517
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-2522
Practice Address - Country:US
Practice Address - Phone:954-565-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4568101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health