| Doctor Name: | AMY ASHWORTH |
| NPI Number: | 1003203225 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC, NCC, SAC, RYT |
| License Number: | |
| Business Practice Address: | 3510 1/2 Asbury Ave Neptune, NJ - 077532504 |
| Business Phone Number: | 3159558593 |
| Business Fax Number: | |
| Mailing Address: | 3510 1/2 Asbury Ave, NEPTUNE |
| State: | NJ |
| Postal Code: | 077532504 |
| Phone Number: | 3159558593 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2015 |
| NPI Last Update Date: | 04/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |