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NPI Code Detail

MEDICARE: DR. JANET K ASHWORTH PH.D.

MEDICARE: DR. JANET K ASHWORTH PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist15755TX

General Provider Information

NPI Number : 1578616694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET K ASHWORTH PH.D.
Provider Business Mailing Address
First Line : PO BOX 272108
Second Line :
City : HOUSTON
State : TX
Zip : 77277-2108
Country : US
Telephone Number : 713-582-5817
Fax Number : 713-661-8201
Provider Business Practice Location Address
First Line : 2525 MURWORTH DR
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1603
Country : US
Telephone Number : 713-582-5817
Fax Number : 713-661-8201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 07/08/2007

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