MEDICARE: ASHLEY ELIZABETH LO SAPIO

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103TC0700X	Clinical Psychologist	B1-0001080	DE

General Provider Information

NPI Number	:	1548497522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ELIZABETH LO SAPIO

Provider Business Mailing Address
First Line	:	2713 LANCASTER AVE
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-5220
Country	:	US
Telephone Number	:	302-656-2348
Fax Number	:

Provider Business Practice Location Address
First Line	:	2711 CENTERVILLE RD STE 400
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1645
Country	:	US
Telephone Number	:	800-370-3651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	01/24/2017

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Directions to “ ASHLEY ELIZABETH LO SAPIO ” Practice Location

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