| Ashley Fogarty Lass, Psy.d.,p.a. | |
|
3616 W Roland St Tampa FL 33609-2832 | |
| (813) 789-3709 | |
| Not Available |
| Full Name | Ashley Fogarty Lass, Psy.d.,p.a. |
|---|---|
| Speciality | Psychologist |
| Location | 3616 W Roland St, Tampa, Florida |
| Authorized Official Name and Position | Ashley Fogarty Lass (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8137893709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Fogarty Lass, Psy.d.,p.a. 3616 W Roland St Tampa FL 33609-2832 Ph: (813) 789-3709 | Ashley Fogarty Lass, Psy.d.,p.a. 3616 W Roland St Tampa FL 33609-2832 Ph: (813) 789-3709 |
| NPI Number | 1093753147 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3678574787 |
|---|---|
| Medicare Enrollment ID | O20070116000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093753147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7188 (Florida) | Primary |
| Provider Name | Ashley F Lass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841241569 PECOS PAC ID: 1850317751 Enrollment ID: I20051020000244 |
Avalon Behavior Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1190 E Washington St, Ph29, Tampa, FL 33602 Phone: 510-313-8290 | |
Varghese Kodiyan Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 602 Shellcracker Ct, Tampa, FL 33613 Phone: 813-245-7326 | |
Tampa Life Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 Phone: 813-906-8852 | |
Embracing Changes Center For Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4830 W Kennedy Blvd Ste 630, Tampa, FL 33609 Phone: 813-486-4920 Fax: 813-428-5756 | |
Vip Senior Wellness Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 Vista Pointe Dr, Tampa, FL 33635 Phone: 718-942-6595 | |
Perspective Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 W Swann Ave Ste 204, Tampa, FL 33606 Phone: 813-308-9417 | |
Marriage & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 W Dr Martin Luther King Jr Blvd Ste 105, Tampa, FL 33607 Phone: 561-774-8225 Fax: 561-634-2776 |