Provider Demographics
NPI:1578082087
Name:KRITZSTEIN, ASHLEY SAMANTHA (PSYD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:SAMANTHA
Last Name:KRITZSTEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 NORRISTOWN RD STE 111
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2349
Mailing Address - Country:US
Mailing Address - Phone:215-260-7575
Mailing Address - Fax:
Practice Address - Street 1:482 NORRISTOWN RD STE 111
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2349
Practice Address - Country:US
Practice Address - Phone:215-260-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-15
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018346103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist