MEDICARE: DR. ASHLEY MACPHERSON LP

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
1	103T00000X	Psychologist	40272.	TX

General Provider Information

NPI Number	:	1811706534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY MACPHERSON LP

Provider Business Mailing Address
First Line	:	3530 W 12TH ST APT 4201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-3181
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 W 12TH ST APT 4201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-3181
Country	:	US
Telephone Number	:	603-965-5858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	01/07/2025

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Directions to “ DR. ASHLEY MACPHERSON LP” Practice Location

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