Provider Demographics
NPI:1891534871
Name:KANE, ASHLEY (PSYD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4490 PLEASANT AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-1821
Mailing Address - Country:US
Mailing Address - Phone:757-796-5851
Mailing Address - Fax:
Practice Address - Street 1:4490 PLEASANT AVE UNIT B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1821
Practice Address - Country:US
Practice Address - Phone:757-796-5851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810009077103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical