Healthcare Provider Details

I. General information

NPI: 1902441157
Provider Name (Legal Business Name): ASHLEY SUTTON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4251 CONESTOGA RD
ELVERSON PA
19520-8726
US

IV. Provider business mailing address

4251 CONESTOGA RD
ELVERSON PA
19520-8726
US

V. Phone/Fax

Practice location:
  • Phone: 347-708-2022
  • Fax:
Mailing address:
  • Phone: 347-708-2022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number023426
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: