Provider Demographics
NPI:1215330568
Name:GLOVER, ASHLEY MICHELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:GLOVER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:GLOVER
Other - Last Name:JARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:100 EMANCIPATION DR
Mailing Address - Street 2:HAMPTON VA MEDICAL CENTER
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23667-0001
Mailing Address - Country:US
Mailing Address - Phone:757-722-9961
Mailing Address - Fax:757-315-3928
Practice Address - Street 1:100 EMANCIPATION DR
Practice Address - Street 2:HAMPTON VA MEDICAL CENTER
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23667-0001
Practice Address - Country:US
Practice Address - Phone:757-722-9961
Practice Address - Fax:757-315-3928
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005054103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical