Provider Demographics
NPI:1356637979
Name:HEATON-ASHBY, MARGARET R (MA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:HEATON-ASHBY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:R
Other - Last Name:HEATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9460 DOUBLE R BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4814
Mailing Address - Country:US
Mailing Address - Phone:775-284-8650
Mailing Address - Fax:775-284-8654
Practice Address - Street 1:5578 LONGLEY LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1825
Practice Address - Country:US
Practice Address - Phone:775-284-8650
Practice Address - Fax:775-284-8654
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0188101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor