NPI 1477699171 · live from the CMS NPI Registry
Beth M Ashenburg, Psy. D.
Psychologist, Clinical Child & Adolescent in Worcester, MA. National Provider Identifier 1477699171, active.
NPI record
| NPI | 1477699171 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 30 Sever St, Worcester, MA 01609 |
| Practice phone | 508-752-4709 |
| Mailing address | Po Box 752, 177 North Main Street, Slatersville, RI 02876 |
| Enumerated | January 29, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 4052 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.