Ashley Braquel Hushon, M.S. CCC/SLP

Individual provider Active NPI Speech-Language Pathologist · Stewartstown, PA

NPI 1417516683 · NPPES record last updated Feb 19, 2024

Key facts

NPI
1417516683
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL013198 (PA)
Practice address
15354 Leib School Rd
Stewartstown, PA 17363-7648
Phone
(717) 683-8422
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
Yes

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 Science

State licenses

LicenseStateTypeSpecialty
08929MDMDOccupational Therapist
SL013198PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL013198 PA Yes
Speech-Language Pathologist 235Z00000X 08929 MD

Addresses

Primary practice location

15354 Leib School Rd
Stewartstown, PA 17363-7648

Mailing address

15354 Leib School Rd
Stewartstown, PA 17363-7648
Phone (717) 683-8422

Other providers in Stewartstown, PA

All providers in Stewartstown, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.