Provider Demographics
NPI:1225257157
Name:ASHTON, DENNIS DALE (LCSW - APA)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:DALE
Last Name:ASHTON
Suffix:
Gender:M
Credentials:LCSW - APA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 DEERE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-3201
Mailing Address - Country:US
Mailing Address - Phone:801-771-6288
Mailing Address - Fax:
Practice Address - Street 1:1466 N HIGHWAY 89 STE 220
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2738
Practice Address - Country:US
Practice Address - Phone:801-451-0475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT120776-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical