Ms Susan Sally Ashton, MSSW is a
Psychologist based in East Troy, Wisconsin. Ms Susan Sally Ashton is licensed to practice in Wisconsin (license number 10123) and her current practice location is
2100 Church Street, East Troy, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 642-5080.
NPI number for Ms Susan Sally Ashton is 1659425213 and her current mailing address is 1922 Deer Path, Waukesha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659425213.
Healthcare Provider's Profile
| Full Name | Ms Susan Sally Ashton |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 2100 Church Street, East Troy, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659425213
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Susan Sally Ashton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659425213 | NPI | - | NPPES |
| 10123 | Other | WI | LICENSE NUMBER AS LCSW |
| 39269800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 10123 (Wisconsin) | 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. Ms Susan Sally Ashton 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 |
|---|
Ms Susan Sally Ashton, MSSW
1922 Deer Path,
Waukesha, WI 53189-8221
Ph: (262) 549-5153 | Ms Susan Sally Ashton, MSSW
2100 Church Street,
East Troy, WI 53120-0621
Ph: (262) 642-5080 |
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