Provider Demographics
NPI:1881410439
Name:WITYNSKI, ASHLEY EVELYN (MA, LPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:EVELYN
Last Name:WITYNSKI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:EVELYN
Other - Last Name:VALKAVITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:528 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-2434
Mailing Address - Country:US
Mailing Address - Phone:267-873-2077
Mailing Address - Fax:
Practice Address - Street 1:528 WALNUT ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-2434
Practice Address - Country:US
Practice Address - Phone:267-873-2077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015718101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health