Healthcare Provider Details

I. General information

NPI: 1710818174
Provider Name (Legal Business Name): DR. ASHLEY KRAVETSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

7001 MADISON AVE
HOLLAND OH
43528-9680
US

IV. Provider business mailing address

2275 COLLINGWOOD BLVD
TOLEDO OH
43620-1100
US

V. Phone/Fax

Practice location:
  • Phone: 567-363-3339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number00236
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: