Provider Demographics
NPI:1598410417
Name:RADCLIFFE, ASHLEY
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:RADCLIFFE
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 1:2477 WEAVERS RUN
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:KY
Mailing Address - Zip Code:40177-6922
Mailing Address - Country:US
Mailing Address - Phone:502-296-8706
Mailing Address - Fax:
Practice Address - Street 1:1169 EASTERN PKWY STE G1111
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1462
Practice Address - Country:US
Practice Address - Phone:502-242-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst