Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 103G00000X | Clinical Psychologist | 3824 | CO |
Y | 103TC0700X | Clinical Psychologist | 3824 | CO |
N | 103TC1900X | Counseling Psychologist | ||
N | 103TE1100X | Exercise & Sports Psychologist | ||
N | 103TH0004X | Health Psychologist |
NPI | 1295021525 |
---|---|
Provider Name | Dr. Erin Leigh Ashby |
First Address | Colorado Springs, CO 80909-3500 |
Second Address | Colorado Springs, CO 80909-3558 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2011 |
Last Update Date | 17/03/2018 |