MEDICARE: ASHLEY FREEMAN CONSULTING, PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	08100004905	VA

General Provider Information

NPI Number	:	1538570825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHLEY FREEMAN CONSULTING, PLC

Provider Business Mailing Address
First Line	:	PO BOX 42952
Second Line	:
City	:	URBANDALE
State	:	IA
Zip	:	50323-3855
Country	:	US
Telephone Number	:	515-257-7155
Fax Number	:

Provider Business Practice Location Address
First Line	:	2119 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4527
Country	:	US
Telephone Number	:	804-298-7088
Fax Number	:	888-802-0862

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	ASHLEY H. FREEMAN
Credential	:
Telephone Number	:	515-257-7155

Provider Enumeration Date	:	05/08/2014
Last Update Date	:	07/25/2022

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