Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 5089 | NJ |
Y | 103T00000X | Psychologist | 5089 | NJ |
N | 103G00000X | Clinical Psychologist | 5089 | NJ |
N | 103TC0700X | Clinical Psychologist | 5089 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 5089 | NJ |
NPI | 1083743728 |
---|---|
Provider Name | Dr. Ashley M Strathern |
First Address | Mount Laurel, NJ 08054-2843 |
Second Address | Moorestown, NJ 08057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 05/08/2013 |