Healthcare Provider Details

I. General information

NPI: 1316417041
Provider Name (Legal Business Name): ASHLE DORAN MSW, LSW, CSW INTERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 06/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6940 SIERRA CENTER PKWY
RENO NV
89511
US

IV. Provider business mailing address

1423 CANYON HOLLOW CT
CARSON CITY NV
89701-7703
US

V. Phone/Fax

Practice location:
  • Phone: 775-393-2200
  • Fax: 775-852-1735
Mailing address:
  • Phone: 775-297-5248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6486-S
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberIC-1347
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: