Healthcare Provider Details

I. General information

NPI: 1669757852
Provider Name (Legal Business Name): THERESA M ASLIN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CORPORATE DR
HALFMOON NY
12065-8612
US

IV. Provider business mailing address

139 CORNELL ST
KINGSTON NY
12401-3633
US

V. Phone/Fax

Practice location:
  • Phone: 518-400-0103
  • Fax:
Mailing address:
  • Phone: 845-338-1234
  • Fax: 845-338-6284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: