Provider Demographics
NPI:1942601364
Name:ASHBY, RICHARD JAMES (MSW)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JAMES
Last Name:ASHBY
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1733 W 12600 S # 221
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-7043
Mailing Address - Country:US
Mailing Address - Phone:801-652-7786
Mailing Address - Fax:
Practice Address - Street 1:1733 W 12600 S # 221
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7043
Practice Address - Country:US
Practice Address - Phone:801-652-7786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT323467-35021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical