Provider Demographics
NPI:1770877730
Name:DASIANU, ASHLEY CATHERINE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:CATHERINE
Last Name:DASIANU
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 1:32 AGGIE VLG APT E
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-2753
Mailing Address - Country:US
Mailing Address - Phone:619-861-4371
Mailing Address - Fax:
Practice Address - Street 1:32 AGGIE VLG APT E
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-2753
Practice Address - Country:US
Practice Address - Phone:619-861-4371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist