Ashley Marie Jennings, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Vero Beach, FL

NPI 1477074136 · NPPES record last updated Jun 3, 2020

Key facts

NPI
1477074136
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA15512 (FL)
Practice address
1140 7TH CT
Vero Beach, FL 32960-5706
Phone
(772) 584-3888
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
SA15512FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Whiting Pediatric Therapy Services, LLC. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA15512 FL Yes

Addresses

Primary practice location

1140 7TH CT
Vero Beach, FL 32960-5706

Mailing address

1140 7TH CT
Vero Beach, FL 32960-5706

Other names

  • Ashley Marie Sellers Former name

Other providers in Vero Beach, FL

All providers in Vero Beach, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.