Healthcare Provider Details

I. General information

NPI: 1346664299
Provider Name (Legal Business Name): MARIE ASHLEY OWENS ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIE ASHLEY GALAN ED.S.

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W CHESTNUT ST
OXFORD OH
45056-2619
US

IV. Provider business mailing address

3806 HAMILTON SCIPIO RD
HAMILTON OH
45013-9239
US

V. Phone/Fax

Practice location:
  • Phone: 513-273-3604
  • Fax:
Mailing address:
  • Phone: 815-985-2743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.02551
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2537947
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberOH3158121
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: