Provider Demographics
NPI:1144467606
Name:DEMERS, ASHLEY CALDWELL
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:CALDWELL
Last Name:DEMERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7842 PLANTATION RD
Mailing Address - Street 2:
Mailing Address - City:MACCLENNY
Mailing Address - State:FL
Mailing Address - Zip Code:32063-5274
Mailing Address - Country:US
Mailing Address - Phone:802-242-2042
Mailing Address - Fax:954-342-0273
Practice Address - Street 1:57 WILDFLOWER LN
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-4474
Practice Address - Country:US
Practice Address - Phone:802-242-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2023-08-10
Deactivation Date:2020-03-04
Deactivation Code:
Reactivation Date:2020-05-06
Provider Licenses
StateLicense IDTaxonomies
VT047.0133682103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical