Provider Demographics
NPI:1356747109
Name:REINHART, ASHLEY (EDS, NCSP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:REINHART
Suffix:
Gender:F
Credentials:EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 OAKCLIFF ST SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-2034
Mailing Address - Country:US
Mailing Address - Phone:330-915-5307
Mailing Address - Fax:
Practice Address - Street 1:5151 OAKCLIFF ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-2034
Practice Address - Country:US
Practice Address - Phone:330-915-5307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1413671103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool