Provider Demographics
NPI:1669724340
Name:ASHMAN, LESLIE E
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:E
Last Name:ASHMAN
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 1:4940 HAMPDEN LANE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-273-5533
Mailing Address - Fax:
Practice Address - Street 1:4940 HAMPDEN LN
Practice Address - Street 2:SUITE 210
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2945
Practice Address - Country:US
Practice Address - Phone:301-273-5533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD112211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical