Healthcare Provider Details

I. General information

NPI: 1518416452
Provider Name (Legal Business Name): ASHLEY TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 BROADWAY
TACOMA WA
98402-3900
US

IV. Provider business mailing address

2329 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-3841
US

V. Phone/Fax

Practice location:
  • Phone: 253-343-1284
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSYC.PY.61519091
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: