Provider Demographics
NPI:1659530525
Name:DORIN, ASHLEY GREEN (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:GREEN
Last Name:DORIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:UCONN HEALTH, DEPARTMENT OF PSYCHIATRY, MC2103
Mailing Address - Street 2:263 FARMINGTON AVE, FARMINGTON, CT
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-1001
Mailing Address - Country:US
Mailing Address - Phone:860-679-1283
Mailing Address - Fax:860-679-4077
Practice Address - Street 1:UCONN HEALTH, DEPARTMENT OF PSYCHIATRY, MC2103
Practice Address - Street 2:263 FARMINGTON AVE, FARMINGTON, CT
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-1001
Practice Address - Country:US
Practice Address - Phone:860-679-1283
Practice Address - Fax:860-679-4077
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2024-07-10
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Provider Licenses
StateLicense IDTaxonomies
CT0509002084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008041392Medicaid