Ashley Lefringhouse

Individual provider Active NPI Speech-Language Pathologist · Barry, IL

NPI 1609445469 · NPPES record last updated Jun 24, 2021

Key facts

NPI
1609445469
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242006365 (IL)
Practice address
1313 Pratt St
Barry, IL 62312-1365
Phone
(217) 335-2326
NPI assigned
Jun 24, 2021
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

LicenseStateTypeSpecialty
242006365ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 242006365 IL Yes

Addresses

Primary practice location

1313 Pratt St
Barry, IL 62312-1365

Mailing address

2118 N 900TH Ave
Liberty, IL 62347-2119
Phone (217) 617-9100

Other providers in Barry, IL

All providers in Barry, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.