Individual
DR. WILLARD WALDEN CHRISTOPHER ASHLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCP, NCPSYA
Contact information
Practice address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(201) 400-3166
Mailing address
33 W TRYON AVE, TEANECK, NJ 07666-3629
(201) 400-3166
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
48A00003200
NJ
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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