Provider Information for 1174215917
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ASHLEY PEARL WALTERS LPC, ATR-BC
Sex: Female
NPI: 1174215917
Last Updated: 2024-08-27
Certification Date: 2024-08-27
Certification Date: 2024-08-27
Details
| Name | Value | ||||||||
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| NPI | 1174215917 | ||||||||
| Enumeration Date | 2023-05-22 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 156 S BETHLEHEM PIKE AMBLER, PA 19002-5821 United States Phone: 215-767-7096 | Fax: | ||||||||
| Primary Practice Address | 156 S BETHLEHEM PIKE AMBLER, PA 19002-5821 United States Phone: 215-834-0871 | Fax: | ||||||||
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