Provider Demographics
NPI:1881223543
Name:HAGGERTY, ASHLEY V
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:V
Last Name:HAGGERTY
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 1:250 GLENCOE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2624
Mailing Address - Country:US
Mailing Address - Phone:412-956-4793
Mailing Address - Fax:
Practice Address - Street 1:250 GLENCOE DR
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2624
Practice Address - Country:US
Practice Address - Phone:412-956-4793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-05
Last Update Date:2020-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional