Basic Information
Provider Information
NPI: 1487079430
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINTON
FirstName: ASHLEY
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: MS, LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GRAHAM
OtherFirstName: ASHLEY
OtherMiddleName: ELIZABETH
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MS, LPC
OtherLastNameType: 1
Mailing Information
Address1: 11279 PERRY HWY STE 450
Address2:  
City: WEXFORD
State: PA
PostalCode: 150909303
CountryCode: US
TelephoneNumber: 7249331100
FaxNumber:  
Practice Location
Address1: 1200 REEDSDALE ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152332109
CountryCode: US
TelephoneNumber: 4126973409
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2014
LastUpdateDate: 10/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XPC007402PAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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