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General NPI Number Information
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NPI Number | 1053567420
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Entity Type | Individual
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Provider Name | ASHLEY ANNE LOYD PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 3005 RIVERSTONE TRL
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City | ATLANTA
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State | GA
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Zip | 30339-8463
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Country | US
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Telephone | 404-218-9417
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 RIVERSTONE TRL
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City | ATLANTA
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State | GA
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Zip | 30339-8463
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Country | US
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Telephone | 404-218-9417
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY003229
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License Number State | GA
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