Provider Demographics
NPI:1588788384
Name:SELLMAN, ASHLEIGH (RD, CSP)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:SELLMAN
Suffix:
Gender:F
Credentials:RD, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 ALBANO CT
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:NORTHRIDGE NUTRITION COUNSELING CTR
Practice Address - Street 2:SUITE 107
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-1310
Practice Address - Country:US
Practice Address - Phone:434-243-7314
Practice Address - Fax:434-243-4612
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric