Provider Demographics
NPI:1548480684
Name:ASHLEY, NICOLE SCHNEIDER
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:SCHNEIDER
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2663
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91943-2663
Mailing Address - Country:US
Mailing Address - Phone:619-519-4471
Mailing Address - Fax:
Practice Address - Street 1:741 GARDEN VIEW CT STE 202
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2472
Practice Address - Country:US
Practice Address - Phone:619-519-4471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102820106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist