Provider Demographics
NPI:1811879299
Name:FROMENTHAL, ASHLEY LYNN (MS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:FROMENTHAL
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 1:1130 JACK WARNER PKWY NE APT 21A
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404-6308
Mailing Address - Country:US
Mailing Address - Phone:985-518-3603
Mailing Address - Fax:
Practice Address - Street 1:700 35TH AVE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1330
Practice Address - Country:US
Practice Address - Phone:205-758-3867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist