Provider Demographics
NPI:1568614139
Name:ASHTON, GRACE COX (PHD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:COX
Last Name:ASHTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 CONARROE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-1335
Mailing Address - Country:US
Mailing Address - Phone:215-483-2461
Mailing Address - Fax:215-483-4597
Practice Address - Street 1:169 CONARROE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19127-1335
Practice Address - Country:US
Practice Address - Phone:215-483-2461
Practice Address - Fax:215-483-4597
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016021103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist