Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY003229 | GA |
NPI | 1053567420 |
---|---|
Provider Name | Dr. Ashley Anne Loyd |
First Address | Atlanta, GA 30339-8463 |
Second Address | Atlanta, GA 30339-8463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2008 |
Last Update Date | 28/10/2008 |