Mrs Ashley Pettaway, MS is a
Developmental Therapist based in Lake Mary, Florida. Mrs Ashley Pettaway is licensed to practice in * (Not Available) (license number ) and her current practice location is
1050 Regal Pointe Ter, Apt 206, Lake Mary, Florida. She can be reached at her office (for appointments etc.) via phone at
(267) 980-4556.
NPI number for Mrs Ashley Pettaway is 1962878694 and her current mailing address is 247 Fairfield Dr, Sanford, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962878694.
Healthcare Provider's Profile
Full Name | Mrs Ashley Pettaway |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 1050 Regal Pointe Ter, Lake Mary, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962878694
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 01/16/2022
Medical Identifiers
Medical identifiers for Mrs Ashley Pettaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962878694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ashley Pettaway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Ashley Pettaway, MS 247 Fairfield Dr, Sanford, FL 32771-6817 Ph: (407) 448-6678 | Mrs Ashley Pettaway, MS 1050 Regal Pointe Ter, Apt 206, Lake Mary, FL 32746-2028 Ph: (267) 980-4556 |
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