Healthcare Provider Details

I. General information

NPI: 1386575132
Provider Name (Legal Business Name): ASHLEY SEDGWICK FELTON ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 PINE ST
SAINT LOUIS MO
63103-2264
US

IV. Provider business mailing address

7615 W BRUNO AVE
SAINT LOUIS MO
63117-2116
US

V. Phone/Fax

Practice location:
  • Phone: 314-533-0975
  • Fax:
Mailing address:
  • Phone: 406-930-0471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: