Provider Demographics
NPI:1104132513
Name:WOODS, ASHLEIGH CHARLENE KAPPOS (PSYD, HSPP)
Entity type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:CHARLENE KAPPOS
Last Name:WOODS
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:CHARLENE
Other - Last Name:KAPPOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5101 E US HIGHWAY 36 STE 100
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-6646
Mailing Address - Country:US
Mailing Address - Phone:888-714-1927
Mailing Address - Fax:317-745-9565
Practice Address - Street 1:6655 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-8923
Practice Address - Country:US
Practice Address - Phone:888-714-1927
Practice Address - Fax:317-272-0807
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042605A103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist