Basic Information
Provider Information
NPI: 1346532025
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOLER
FirstName: ASHLEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 260 JUSTICE RIDGE RD
Address2:  
City: CANDLER
State: NC
PostalCode: 287159575
CountryCode: US
TelephoneNumber: 7043008751
FaxNumber:  
Practice Location
Address1: 669 S HAYWOOD ST
Address2:  
City: WAYNESVILLE
State: NC
PostalCode: 287866703
CountryCode: US
TelephoneNumber: 8286313973
FaxNumber: 8286319280
Other Information
ProviderEnumerationDate: 05/12/2011
LastUpdateDate: 01/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103T00000X4201NCY Behavioral Health & Social Service ProvidersPsychologist 

No ID Information.


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