Elizabeth Ashley, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Lynn Haven, FL

NPI 1659699338 · NPPES record last updated May 5, 2010

Key facts

NPI
1659699338
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA 10398 (FL)
Practice address
406 Michigan Ave
Lynn Haven, FL 32444-1430
Phone
(850) 571-5331
NPI assigned
May 5, 2010
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
SA 10398FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 10398 FL Yes

Addresses

Primary practice location

406 Michigan Ave
Lynn Haven, FL 32444-1430

Mailing address

406 Michigan Ave
Lynn Haven, FL 32444-1430
Phone (850) 571-5331

Other providers in Lynn Haven, FL

All providers in Lynn Haven, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.