Ashley Anderson
Individual provider Active NPI Clinical Psychologist · Lexington, KY
NPI 1306571815 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1306571815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 278776 (KY)
- Practice address
- 2250 Leestown Rd
Lexington, KY 40511-1052 - Phone
- (859) 233-4511
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278776 | KY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 278776 | KY | Yes |
Addresses
Primary practice location
2250 Leestown Rd
Lexington, KY 40511-1052
Mailing address
412 Mallory Meadow Way
Nicholasville, KY 40356-6129
Phone (214) 551-0563
Other providers in Lexington, KY
- Aditya Ancha
- Alexandre Paul Ancheta
- Anchored LLC
- Audree Anciro
- Andre Alexander Abarca Anderson
- Ashley Anderson
- Ashley Brook Anderson
- Carleton T Anderson
- Connor Michael Anderson
- Crystal Nichole Anderson
All providers in Lexington, KY · Clinical Psychologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.