Provider Demographics
NPI:1578234985
Name:MCDEVITT, ASHLEY M (BS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:MCDEVITT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:M
Other - Last Name:SEIPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:727 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BARABOO
Mailing Address - State:WI
Mailing Address - Zip Code:53913-1794
Mailing Address - Country:US
Mailing Address - Phone:920-463-0118
Mailing Address - Fax:
Practice Address - Street 1:727 8TH ST
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913-1794
Practice Address - Country:US
Practice Address - Phone:920-463-0118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator