Provider Demographics
NPI:1154831626
Name:MAAG, ASHLEY (MS, PHD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MAAG
Suffix:
Gender:F
Credentials:MS, PHD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:WINTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, PHD
Mailing Address - Street 1:13700 SMALLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-2709
Mailing Address - Country:US
Mailing Address - Phone:703-829-7365
Mailing Address - Fax:
Practice Address - Street 1:4229 LAFAYETTE CENTER DR STE 1300
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-1260
Practice Address - Country:US
Practice Address - Phone:703-829-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist