MRS. Ashley Pettaway, M.S

NPI #1962878694 in Lake Mary, Florida

Provider Information

NPI Number
1962878694
Entity Type
Individual
Name
MRS. Ashley Pettaway, M.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Credential
M.S
Enumeration Date
Aug 17, 2015
Last Updated
Jan 16, 2022

Practice Location

Address
1050 REGAL POINTE TER
Address 2
APT 206
State
Florida
ZIP Code
32746-2028
Phone
(267) 980-4556

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Developmental Therapist

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