Healthcare Provider Details

I. General information

NPI: 1003289125
Provider Name (Legal Business Name): ASHLEY DIGGS BA, MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2015
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 WIDENER ST
PHILADELPHIA PA
19120-1319
US

IV. Provider business mailing address

522 WIDENER ST
PHILADELPHIA PA
19120-1319
US

V. Phone/Fax

Practice location:
  • Phone: 267-582-7607
  • Fax:
Mailing address:
  • Phone: 267-582-7607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016678
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: