Provider Demographics
NPI:1831944388
Name:STRONG, ASHLEY NICOLE
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:STRONG
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 1:401 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:TWINING
Mailing Address - State:MI
Mailing Address - Zip Code:48766-9603
Mailing Address - Country:US
Mailing Address - Phone:989-371-9096
Mailing Address - Fax:
Practice Address - Street 1:401 S STATE ST
Practice Address - Street 2:
Practice Address - City:TWINING
Practice Address - State:MI
Practice Address - Zip Code:48766-9603
Practice Address - Country:US
Practice Address - Phone:989-371-9096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service