Provider Demographics
NPI:1821971557
Name:NOVICKAS, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:NOVICKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASH
Other - Middle Name:
Other - Last Name:NOVICKAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:346 SYCAMORE GLN
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1353
Mailing Address - Country:US
Mailing Address - Phone:805-630-1466
Mailing Address - Fax:
Practice Address - Street 1:346 SYCAMORE GLN
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1353
Practice Address - Country:US
Practice Address - Phone:805-630-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula