Provider Demographics
NPI:1518560036
Name:FRANK SLOTT, ASHLEY ANN (PSYD, CADC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANN
Last Name:FRANK SLOTT
Suffix:
Gender:F
Credentials:PSYD, CADC
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD CADC
Mailing Address - Street 1:475 ANTHONY ST
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-4419
Mailing Address - Country:US
Mailing Address - Phone:630-533-5858
Mailing Address - Fax:
Practice Address - Street 1:420 PENNSYLVANIA AVE STE 101
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4427
Practice Address - Country:US
Practice Address - Phone:630-474-4353
Practice Address - Fax:630-790-8898
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.008967103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist