Healthcare Provider Details

I. General information

NPI: 1437673019
Provider Name (Legal Business Name): ASHLEY LOY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 SE 165TH MULBERRY LN
THE VILLAGES FL
32162-5884
US

IV. Provider business mailing address

7234 MIDDLETON DR
MIDDLETON FL
34762-6161
US

V. Phone/Fax

Practice location:
  • Phone: 352-674-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number004944
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: