MEDICARE: ASHLEY CURRIN PHD

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	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1104548767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY CURRIN PHD

Provider Business Mailing Address
First Line	:	4325 MILSMITH RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-4537
Country	:	US
Telephone Number	:	804-678-9116
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 CONDUIT RD
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-2628
Country	:	US
Telephone Number	:	804-678-9116
Fax Number	:

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

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	09/12/2022

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