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NPI Code Detail

MEDICARE: ELIZABETH ANN ASHLEY B.A.

MEDICARE: ELIZABETH ANN ASHLEY B.A.
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1730404161
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN ASHLEY B.A.
Provider Business Mailing Address
First Line : 6 SOUTHSIDE RD
Second Line :
City : DANVERS
State : MA
Zip : 01923-1409
Country : US
Telephone Number : 978-762-8352
Fax Number : 978-762-3980
Provider Business Practice Location Address
First Line : 6 SOUTHSIDE RD
Second Line :
City : DANVERS
State : MA
Zip : 01923-1409
Country : US
Telephone Number : 978-762-8352
Fax Number : 978-762-3980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2010
Last Update Date : 03/29/2010

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