Ashton Lee, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · West Union, IA

NPI 1194500439 · NPPES record last updated Aug 25, 2023

Key facts

NPI
1194500439
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
121255 (IA)
Practice address
112 Jefferson St
West Union, IA 52175-1022
Phone
(309) 798-8340
NPI assigned
Aug 25, 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

State licenses

LicenseStateTypeSpecialty
121255IAMDSpeech-Language Pathologist
SLP-5761IDMDSpeech-Language Pathologist
518096MNMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 518096 MN
Speech-Language Pathologist 235Z00000X 121255 IA Yes
Speech-Language Pathologist 235Z00000X SLP-5761 ID
Speech-Language Pathologist 235Z00000X 34845 CA

Addresses

Primary practice location

112 Jefferson St
West Union, IA 52175-1022

Mailing address

10700 135TH St
Coal Valley, IL 61240-9175

Other providers in West Union, IA

All providers in West Union, IA · Speech-Language Pathologist in Iowa

Sources for this page

Verify at the official NPI Registry.