Provider Demographics
NPI:1134704620
Name:STEINECKERT, ASHLEY ERYN
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ERYN
Last Name:STEINECKERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1273 WEST 12600 SOUTH
Mailing Address - Street 2:STE 403
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065
Mailing Address - Country:US
Mailing Address - Phone:801-930-0411
Mailing Address - Fax:801-931-2211
Practice Address - Street 1:1273 WEST 12600 SOUTH
Practice Address - Street 2:STE 403
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-8406
Practice Address - Country:US
Practice Address - Phone:801-930-0411
Practice Address - Fax:801-931-2211
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7277656-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT815003059OtherTHERAPIST