Provider Demographics
NPI:1336895713
Name:BARTHOLOW, ASHTON (MS, LBS)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:BARTHOLOW
Suffix:
Gender:M
Credentials:MS, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 BELLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-2184
Mailing Address - Country:US
Mailing Address - Phone:814-977-1453
Mailing Address - Fax:
Practice Address - Street 1:601 BELLWOOD DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-2184
Practice Address - Country:US
Practice Address - Phone:814-977-1453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH004347103K00000X
PAPC014826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst