Provider Demographics
NPI:1356598049
Name:MCNABB, ASHLEY (MS, LPP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MCNABB
Suffix:
Gender:F
Credentials:MS, LPP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:MCFARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:503 DARBY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1603
Mailing Address - Country:US
Mailing Address - Phone:859-264-8796
Mailing Address - Fax:859-264-9957
Practice Address - Street 1:503 DARBY CREEK RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-264-8796
Practice Address - Fax:859-264-9957
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 103T00000X
KY240560103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30610026Medicaid