Healthcare Provider Details

I. General information

NPI: 1700284577
Provider Name (Legal Business Name): ASHLIE OBRECHT PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLIE ANNE RUEBER

II. Dates (important events)

Enumeration Date: 12/10/2014
Last Update Date: 05/09/2022
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 30TH ST
DES MOINES IA
50310-5753
US

IV. Provider business mailing address

5400 KIRKWOOD BLVD SW
CEDAR RAPIDS IA
52404-5216
US

V. Phone/Fax

Practice location:
  • Phone: 515-699-5999
  • Fax:
Mailing address:
  • Phone: 319-784-2107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000416
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: