Provider Demographics
NPI:1740150440
Name:PATTON, ASHLEY (CPT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12089 DOE RUN CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1088
Mailing Address - Country:US
Mailing Address - Phone:513-888-1221
Mailing Address - Fax:206-649-7573
Practice Address - Street 1:12089 DOE RUN CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1088
Practice Address - Country:US
Practice Address - Phone:513-888-1221
Practice Address - Fax:206-649-7573
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities