Healthcare Provider Details

I. General information

NPI: 1285652248
Provider Name (Legal Business Name): MICHAEL V ASKINS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 BRUNSWICK RD. STE. 10
GRASS VALLEY CA
95945-9529
US

IV. Provider business mailing address

565 BRUNSWICK RD. STE. 10
GRASS VALLEY CA
95945-9529
US

V. Phone/Fax

Practice location:
  • Phone: 530-272-6231
  • Fax: 530-272-6294
Mailing address:
  • Phone: 530-272-6231
  • Fax: 530-272-6294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 7163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: