Healthcare Provider Details

I. General information

NPI: 1730545302
Provider Name (Legal Business Name): MRS. ASHLEY CALLENDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 TILGHMAN ST
ALLENTOWN PA
18106-9034
US

IV. Provider business mailing address

7407 VENTNOR DR
TOBYHANNA PA
18466-3322
US

V. Phone/Fax

Practice location:
  • Phone: 718-791-8413
  • Fax:
Mailing address:
  • Phone: 718-791-8413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberNYCPS-3163
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: