Provider Demographics
NPI:1952105777
Name:ANDERSON, ASHLYN TIARA (BA, IHP, BC-HHP)
Entity type:Individual
Prefix:
First Name:ASHLYN
Middle Name:TIARA
Last Name:ANDERSON
Suffix:
Gender:
Credentials:BA, IHP, BC-HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 LORD TENNYSON PL
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-3220
Mailing Address - Country:US
Mailing Address - Phone:302-981-8374
Mailing Address - Fax:
Practice Address - Street 1:1761 LORD TENNYSON PL
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-3220
Practice Address - Country:US
Practice Address - Phone:302-981-8374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach