Stephen M. Ash, PSY.D.

Individual provider Active NPI Clinical Psychologist · Little Rock, AR

NPI 1508047507 · NPPES record last updated Jun 17, 2016

Key facts

NPI
1508047507
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
12-17P (AR)
Practice address
11825 Hinson Rd
Suite 105
Little Rock, AR 72212-3404
Phone
(501) 297-1057
NPI assigned
Nov 19, 2007
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11815 Hinson Rd
Little Rock, AR 72212-3404

11825 Hinson Rd
Suite 105
Little Rock, AR 72212-3404
Phone (501) 297-1057

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140226000769 AR Practitioner - Clinical Psychologist 6406086164 Practice locations: Little Rock, AR

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 12-17P AR Yes

Addresses

Primary practice location

11825 Hinson Rd
Suite 105
Little Rock, AR 72212-3404

Mailing address

11825 Hinson Rd
Suite 105
Little Rock, AR 72212-3404
Phone (501) 297-1057

Other providers in Little Rock, AR

All providers in Little Rock, AR · Clinical Psychologist in Arkansas

Sources for this page

Verify at the official NPI Registry.