Provider Demographics
NPI:1689279101
Name:MULVERHILL, ASHLEY J
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:J
Last Name:MULVERHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 S ALVORD ST
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-4911
Mailing Address - Country:US
Mailing Address - Phone:760-793-9463
Mailing Address - Fax:
Practice Address - Street 1:732 N NORMA ST UNIT B
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3507
Practice Address - Country:US
Practice Address - Phone:760-454-7281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician