Provider Demographics
NPI:1396408746
Name:TUTHILL, ASHLY (CRSW)
Entity Type:Individual
Prefix:
First Name:ASHLY
Middle Name:
Last Name:TUTHILL
Suffix:
Gender:F
Credentials:CRSW
Other - Prefix:
Other - First Name:ASHLY
Other - Middle Name:
Other - Last Name:WYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1957
Mailing Address - Country:US
Mailing Address - Phone:603-487-6740
Mailing Address - Fax:
Practice Address - Street 1:20 MARKET ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1957
Practice Address - Country:US
Practice Address - Phone:603-487-6740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)