MEDICARE: ASHLEY DIGGS BA, MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor
2	101YP2500X	Professional Counselor	PC016678	PA

General Provider Information

NPI Number	:	1003289125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY DIGGS BA, MA

Provider Business Mailing Address
First Line	:	522 WIDENER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-1319
Country	:	US
Telephone Number	:	267-582-7607
Fax Number	:

Provider Business Practice Location Address
First Line	:	522 WIDENER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-1319
Country	:	US
Telephone Number	:	267-582-7607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2015
Last Update Date	:	06/10/2024

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