Provider Demographics
NPI:1396135356
Name:ROSSET, ASHLEY LYMAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LYMAN
Last Name:ROSSET
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:LYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-4236
Mailing Address - Country:US
Mailing Address - Phone:832-978-0102
Mailing Address - Fax:
Practice Address - Street 1:127 RIVER ST
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4236
Practice Address - Country:US
Practice Address - Phone:832-978-0102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2021-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36088103T00000X
CT4142103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist