Provider Demographics
NPI:1003970401
Name:ASHTON, ERIKALIN NICHOLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIKALIN
Middle Name:NICHOLE
Last Name:ASHTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5649 THOLOZAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1516
Mailing Address - Country:US
Mailing Address - Phone:314-324-0571
Mailing Address - Fax:314-222-5849
Practice Address - Street 1:9890 CLAYTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1685
Practice Address - Country:US
Practice Address - Phone:314-222-5848
Practice Address - Fax:314-222-5849
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002021870103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral