Healthcare Provider Details

I. General information

NPI: 1235302324
Provider Name (Legal Business Name): ALISON OHASHI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2622 PIONEER AVE
CHEYENNE WY
82001-3024
US

IV. Provider business mailing address

3514 CONCORD RD
CHEYENNE WY
82001-1632
US

V. Phone/Fax

Practice location:
  • Phone: 307-433-1124
  • Fax: 307-634-9462
Mailing address:
  • Phone: 307-433-1124
  • Fax: 307-634-9462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number233
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: