Provider Demographics
NPI:1780442285
Name:DICKERSON, ASHLEY (MSPH, NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:DICKERSON
Suffix:
Gender:F
Credentials:MSPH, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7515
Mailing Address - Country:US
Mailing Address - Phone:956-975-9401
Mailing Address - Fax:
Practice Address - Street 1:101 LAUREL DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7515
Practice Address - Country:US
Practice Address - Phone:956-975-9401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach