Provider Demographics
NPI:1467245498
Name:SMITH, ASHLEY MEGAN (MA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MEGAN
Last Name:SMITH
Suffix:
Gender:X
Credentials:MA
Other - Prefix:
Other - First Name:ASH
Other - Middle Name:M
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:586 PROSPECT PL APT 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4251
Mailing Address - Country:US
Mailing Address - Phone:508-298-2065
Mailing Address - Fax:
Practice Address - Street 1:57 WILLOUGHBY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5257
Practice Address - Country:US
Practice Address - Phone:508-298-2065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program