Provider Demographics
NPI:1528345444
Name:CONWAY, ASHLEY ROCHELLE (CT-AD)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:ROCHELLE
Last Name:CONWAY
Suffix:
Gender:F
Credentials:CT-AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 GREENWOOD AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1435
Mailing Address - Country:US
Mailing Address - Phone:443-857-6947
Mailing Address - Fax:
Practice Address - Street 1:540 RIVERSIDE DR STE 8
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5352
Practice Address - Country:US
Practice Address - Phone:443-857-6947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)