Ashley N. Pettoni, Psy.D., Pc
LBN: Ashley N. Pettoni, Psy.D., Pc
Ashley N. Pettoni, Psy.D., Pc is an health care organization with primary practice located at 485 Huntington Rd 201, Athens GA 30606-1861. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Ashley N. Pettoni, Psy.D., Pc can be contacted via phone (706) 546-8440, or through Pettoni, Ashley N via phone (404) 550-0388.
Contact Information
Primary practice address
485 Huntington Rd 201
Athens GA 30606-1861
Phone: (706) 546-8440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY003250 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY003250 | Georgia |
Profile Details
| NPI number | 1851626105 |
|---|---|
| LBN Legal business name | Ashley N. Pettoni, Psy.D., Pc |
| DBA Doing business as | |
| Authorized official | Pettoni, Ashley N PSY. D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2009 |
| Last updated | Oct 5th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851626105 | NPPES |
| Georgia | MEDICAID | 364591572A | |
| Georgia | MEDICAID | 364591572B |
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