MEDICARE: ASHLEE PEDRICK

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	101Y00000X	Counselor	37AC00895600	NJ

General Provider Information

NPI Number	:	1871471904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE PEDRICK

Provider Business Mailing Address
First Line	:	26 LONGPORT AVE
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-1140
Country	:	US
Telephone Number	:	732-604-8856
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 HAWTHORNE AVE STE 102
Second Line	:
City	:	POINT PLEASANT BEACH
State	:	NJ
Zip	:	08742-2539
Country	:	US
Telephone Number	:	867-573-2267
Fax Number	:

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

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	08/26/2025

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