Provider Demographics
NPI:1821518341
Name:GARRISON, ASHLEY AMANDA
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:AMANDA
Last Name:GARRISON
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 1:811 SYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-1124
Mailing Address - Country:US
Mailing Address - Phone:215-485-6412
Mailing Address - Fax:
Practice Address - Street 1:811 SYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-1124
Practice Address - Country:US
Practice Address - Phone:215-485-6412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker