Provider Demographics
NPI:1053567420
Name:LOYD, ASHLEY ANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANNE
Last Name:LOYD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 RIVERSTONE TRL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-8463
Mailing Address - Country:US
Mailing Address - Phone:404-218-9417
Mailing Address - Fax:
Practice Address - Street 1:3005 RIVERSTONE TRL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-8463
Practice Address - Country:US
Practice Address - Phone:404-218-9417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-17
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003229103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent