Healthcare Provider Details

I. General information

NPI: 1891686234
Provider Name (Legal Business Name): ASHLEY PLETZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39155 LIBERTY ST STE E500
FREMONT CA
94538-1516
US

IV. Provider business mailing address

39155 LIBERTY ST STE E500
FREMONT CA
94538-1516
US

V. Phone/Fax

Practice location:
  • Phone: 510-574-2114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: