Provider Demographics
NPI:1952876146
Name:BELCHER, ASHLEY LYNNE JOHNSON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LYNNE JOHNSON
Last Name:BELCHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:LYNNE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9700 PARK PLAZA AVENUE, STE. 106
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241
Mailing Address - Country:US
Mailing Address - Phone:502-429-5431
Mailing Address - Fax:502-429-5439
Practice Address - Street 1:9700 PARK PLAZA AVENUE, STE. 106
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241
Practice Address - Country:US
Practice Address - Phone:502-429-5431
Practice Address - Fax:502-429-5439
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY243443103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist