Individual
NICOLE ASHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
470 WYOMING AVE, KINGSTON, PA 18704-3603
(570) 316-6243
Mailing address
249 CLIFFSIDE AVE, SHAVERTOWN, PA 18708-1801
(570) 762-1998
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018482
PA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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