Provider Demographics
NPI:1285147041
Name:DEV ASHISH PHD PLLC
Entity type:Organization
Organization Name:DEV ASHISH PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEV
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHISH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:719-200-8224
Mailing Address - Street 1:3045 N 1ST AVE STE A
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2560
Mailing Address - Country:US
Mailing Address - Phone:719-200-8224
Mailing Address - Fax:844-227-8699
Practice Address - Street 1:3045 N 1ST AVE STE A
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2560
Practice Address - Country:US
Practice Address - Phone:719-200-8224
Practice Address - Fax:844-227-8699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4907103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty