Healthcare Provider Details

I. General information

NPI: 1669323408
Provider Name (Legal Business Name): MICHELLE ASHLEY DEAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 41534
PASADENA CA
91114-8534
US

IV. Provider business mailing address

829 E LEMON AVE
MONROVIA CA
91016-3009
US

V. Phone/Fax

Practice location:
  • Phone: 626-863-2064
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: