Provider Demographics
NPI:1124531488
Name:ZOERB, ASHLEIGH MAE (MS)
Entity type:Individual
Prefix:MISS
First Name:ASHLEIGH
Middle Name:MAE
Last Name:ZOERB
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4906 W 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-4168
Mailing Address - Country:US
Mailing Address - Phone:509-378-1796
Mailing Address - Fax:
Practice Address - Street 1:4906 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-4168
Practice Address - Country:US
Practice Address - Phone:509-378-1796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60793421101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health