MEDICARE: DR. I. JAY ASHER LMHC

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	101YM0800X	Mental Health Counselor	MH4568	FL

General Provider Information

NPI Number	:	1881800498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. I. JAY ASHER LMHC

Provider Business Mailing Address
First Line	:	1040 BAYVIEW DRIVE
Second Line	:	SUITE 517
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-2522
Country	:	US
Telephone Number	:	954-565-1901
Fax Number	:

Provider Business Practice Location Address
First Line	:	1040 BAYVIEW DR
Second Line	:	SUITE 517
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-2522
Country	:	US
Telephone Number	:	954-565-1901
Fax Number	:

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

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