Provider Demographics
NPI:1750447868
Name:ASHTON, DEIDRE (MSSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DEIDRE
Middle Name:
Last Name:ASHTON
Suffix:
Gender:F
Credentials:MSSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 BUNN DRIVE
Mailing Address - Street 2:PRINCETON FAMILY ISTITUTE, STE 105
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2800
Mailing Address - Country:US
Mailing Address - Phone:609-921-2551
Mailing Address - Fax:
Practice Address - Street 1:166 BUNN DRIVE
Practice Address - Street 2:PRINCETON FAMILY ISTITUTE, STE 105
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2800
Practice Address - Country:US
Practice Address - Phone:609-921-2551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0155381041C0700X
NJ44SC053293001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical