NPI 1477045854 · live from the CMS NPI Registry
Ashley Mayhew Breazeale
Psychologist, Clinical in Knoxville, TN. National Provider Identifier 1477045854, active.
NPI record
| NPI | 1477045854 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1754 Texas Ave, Knoxville, TN 37921 |
| Practice phone | 865-934-6165 |
| Mailing address | 1923 Sulphur Springs Rd, Morristown, TN 37813 |
| Enumerated | June 1, 2018 |
| Last updated | February 8, 2021 |
| Sole proprietor | No |
| Other names | Ashley Mayhew |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychologist, Clinical primary | 103TC0700X | P3741 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.