Provider Demographics
NPI:1639697550
Name:ALDERETTE, ASHLEY LAUREN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LAUREN
Last Name:ALDERETTE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:LAUREN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:1634 I ST NW STE 1200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-4011
Mailing Address - Country:US
Mailing Address - Phone:571-207-6443
Mailing Address - Fax:
Practice Address - Street 1:1634 I ST NW STE 1200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4011
Practice Address - Country:US
Practice Address - Phone:571-207-6443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007278103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty