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General NPI Number Information
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NPI Number | 1982983961
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE CARROLL-BROWN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4757 W PARK BLVD STE 113
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City | PLANO
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State | TX
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Zip | 75093-2329
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Country | US
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Telephone | 469-443-8697
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Fax |
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Provider Business Mailing Address
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Address Line | 4757 W PARK BLVD STE 113
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City | PLANO
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State | TX
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Zip | 75093-2329
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Country | US
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Telephone | 469-443-8697
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 36788
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 13-10P
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License Number State | AR
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