MEDICARE: DR. ASHLEY JESSICA MALIN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	023948-01	NY

General Provider Information

NPI Number	:	1457280315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY JESSICA MALIN PHD

Provider Business Mailing Address
First Line	:	3101 SW 34TH AVE STE 905-205
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-7447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 SW 34TH AVE STE 905-205
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-7447
Country	:	US
Telephone Number	:	352-790-7910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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