Individual provider · NPI-1

Dr. Ashton Anderson, PsyD

Clinical Neuropsychologist · Wilmington, NC

NPI number1295914356

StatusActive

Last updated in NPPESSep 28, 2011

Details

NPI: 1295914356
Entity type: Individual (NPI-1)
Name: Dr. Ashton Anderson
Credential: PsyD
Sex: Female
Sole proprietor: No
Enumeration date: Oct 25, 2007
Last updated: Sep 28, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103G00000X	Clinical Neuropsychologist	3636	NC	Yes
103TC0700X	Psychologist, Clinical	3636	NC

Practice location

219 Racine Dr Ste B
Wilmington, NC 28403-8828

Phone 910-791-6277 · Fax 910-791-6277

Mailing address

219 Racine Dr Ste B
Wilmington, NC 28403-8828

Phone 910-791-6277 · Fax 910-791-6277

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