Healthcare Provider Details

I. General information

NPI: 1376066878
Provider Name (Legal Business Name): YVONNE M ASHER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2017
Last Update Date: 11/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MAGUIRE RD LURIE CENTER
LEXINGTON MA
02421-3114
US

IV. Provider business mailing address

1493 CAMBRIDGE STREET CAMBRIDGE HEALTH ALLIANCE - PSYCHIATRY
CAMBRIDGE MA
02139
US

V. Phone/Fax

Practice location:
  • Phone: 781-860-1700
  • Fax:
Mailing address:
  • Phone: 617-665-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number10937
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: