Provider Demographics
NPI:1649804063
Name:YALDO, ASHLEY RON (LLCSW)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:RON
Last Name:YALDO
Suffix:
Gender:F
Credentials:LLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4823 BANTRY DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1527
Mailing Address - Country:US
Mailing Address - Phone:248-884-2422
Mailing Address - Fax:
Practice Address - Street 1:10 W SQUARE LAKE RD STE 103
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0466
Practice Address - Country:US
Practice Address - Phone:248-256-5044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011014781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical