Ashley W Elder, M.ED SLP
Individual provider Active NPI Speech-Language Pathologist · Nichols Hills, OK
NPI 1558646232 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1558646232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 12025054 (OK)
- Practice address
- 1705 Guilford LN
Nichols Hills, OK 73120-1013 - Phone
- (405) 550-1860
- NPI assigned
- Oct 13, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12025054 | OK | MD | Speech-Language Pathologist |
| 2728 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12025054 | OK | Yes |
| Speech-Language Pathologist | 235Z00000X | 2728 | OK |
Addresses
Primary practice location
1705 Guilford LN
Nichols Hills, OK 73120-1013
Mailing address
1705 Guilford LN
Nichols Hills, OK 73120-1013
Phone (405) 550-1860
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All providers in Nichols Hills, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2011. 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.