Provider Demographics
NPI:1609143395
Name:SCHILKE, ASHLEY FLYNN (MA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:FLYNN
Last Name:SCHILKE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:729 BOYLSTON STREET
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02116
Mailing Address - Country:US
Mailing Address - Phone:617-398-0383
Mailing Address - Fax:866-496-3029
Practice Address - Street 1:729 BOYLSTON STREET
Practice Address - Street 2:5TH FLOOR
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:02116
Practice Address - Country:US
Practice Address - Phone:617-398-0383
Practice Address - Fax:866-496-3029
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health