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NPI Code Detail

MEDICARE: ASHLEY MARIE FRITZ

MEDICARE: ASHLEY MARIE FRITZ
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor37AC00827000NJ

General Provider Information

NPI Number : 1629442777
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE FRITZ
Provider Business Mailing Address
First Line : 770 WOODLANE RD
Second Line : 35
City : WESTAMPTON
State : NJ
Zip : 08060-3804
Country : US
Telephone Number : 609-267-5928
Fax Number :
Provider Business Practice Location Address
First Line : 1103 SHEPPARD RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4797
Country : US
Telephone Number : 856-625-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2015
Last Update Date : 11/25/2024

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Directions to “ ASHLEY MARIE FRITZ ” Practice Location

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