Healthcare Provider Details

I. General information

NPI: 1699284760
Provider Name (Legal Business Name): ASHLEY TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MARSH RD
PELHAM NH
03076-3159
US

IV. Provider business mailing address

806 N MAIN ST
LACONIA NH
03246-2603
US

V. Phone/Fax

Practice location:
  • Phone: 603-635-2115
  • Fax:
Mailing address:
  • Phone: 603-524-9090
  • Fax: 603-524-1497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: