Provider Demographics
NPI:1881251718
Name:RITCHISON, ASHTON DAWN (AUD)
Entity type:Individual
Prefix:DR
First Name:ASHTON
Middle Name:DAWN
Last Name:RITCHISON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ASHTON
Other - Middle Name:DAWN
Other - Last Name:CRAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2216 REAGAN AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-4695
Mailing Address - Country:US
Mailing Address - Phone:307-253-0373
Mailing Address - Fax:
Practice Address - Street 1:2210 KING BLVD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-3165
Practice Address - Country:US
Practice Address - Phone:073-577-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-27
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY231H00000X
WYA1037237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYA1037OtherAUDIOLOGIST LICENSE