Provider Demographics
NPI:1912266495
Name:HALKER, ASHLEY DIANE (BA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DIANE
Last Name:HALKER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:DIANE
Other - Last Name:LAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:11477 OLDE CABIN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7129
Mailing Address - Country:US
Mailing Address - Phone:314-649-7867
Mailing Address - Fax:
Practice Address - Street 1:11477 OLDE CABIN RD STE 210
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-7129
Practice Address - Country:US
Practice Address - Phone:314-649-7867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor