Provider Demographics
NPI:1972053346
Name:BERKENHOFF, ASHLEY (RPSGT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BERKENHOFF
Suffix:
Gender:F
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3613 WILLIAMS DR
Mailing Address - Street 2:BUILDING 10, SUITE 1003
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-1377
Mailing Address - Country:US
Mailing Address - Phone:512-686-6121
Mailing Address - Fax:
Practice Address - Street 1:3613 WILLIAMS DR
Practice Address - Street 2:BUILDING 10, SUITE 1003
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-1377
Practice Address - Country:US
Practice Address - Phone:512-686-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other