Lyndi Ashton Fraley, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Holcomb, MO
NPI 1154022945 · NPPES record last updated Mar 17, 2023
Key facts
- NPI
- 1154022945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2021032263 (MO)
- Practice address
- 102 South Cherry St
Holcomb, MO 63852 - Phone
- (573) 792-3113
- NPI assigned
- Mar 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021032263 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2021032263 | MO | Yes |
Addresses
Primary practice location
102 South Cherry St
Holcomb, MO 63852
Mailing address
102 South Cherry St
Holcomb, MO 63852
Phone (573) 792-3113
Other names
- Lyndi Ashton Jones
Other providers in Holcomb, MO
All providers in Holcomb, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.