Provider Demographics
NPI:1124572789
Name:FREEDLAND, ASHLEIGH KAYE
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:KAYE
Last Name:FREEDLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 GOUCHER WOODS CT
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5655
Mailing Address - Country:US
Mailing Address - Phone:443-470-6472
Mailing Address - Fax:
Practice Address - Street 1:18 GOUCHER WOODS CT
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5655
Practice Address - Country:US
Practice Address - Phone:443-470-6472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8873101YP2500X
MDLGP7265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional