Provider Demographics
NPI:1467922690
Name:ASCHENDORF, HOLLY E (LPCMH, NCC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:E
Last Name:ASCHENDORF
Suffix:
Gender:F
Credentials:LPCMH, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4707
Mailing Address - Country:US
Mailing Address - Phone:302-652-3948
Mailing Address - Fax:
Practice Address - Street 1:261 CHAPMAN RD STE 102
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5426
Practice Address - Country:US
Practice Address - Phone:302-455-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000909101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional