Provider Demographics
NPI:1174215081
Name:PETERHANS, ASHLEE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:PETERHANS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3377 S PRICE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3576
Mailing Address - Country:US
Mailing Address - Phone:480-725-8477
Mailing Address - Fax:480-907-1233
Practice Address - Street 1:3377 S PRICE RD STE 105
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3576
Practice Address - Country:US
Practice Address - Phone:480-725-8477
Practice Address - Fax:480-907-1233
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-214201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical