Provider Demographics
NPI:1063817138
Name:REDA-MCNAMARA, ASHLEY (MA, PHD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:REDA-MCNAMARA
Suffix:
Gender:F
Credentials:MA, PHD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:REDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, PHD
Mailing Address - Street 1:120 WEST AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6077
Mailing Address - Country:US
Mailing Address - Phone:518-306-5655
Mailing Address - Fax:
Practice Address - Street 1:120 WEST AVE STE 209
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6077
Practice Address - Country:US
Practice Address - Phone:518-306-5655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-30
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NY024194103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor