Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1003289125 |
---|---|
Provider Name | Ashley Diggs |
First Address | Philadelphia, PA 19144-5754 |
Second Address | Philadelphia, PA 19144-5754 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2015 |
Last Update Date | 11/11/2015 |