Moriah Ashley
Individual provider Active NPI Speech-Language Pathologist · Elizabethtown, KY
NPI 1669909842 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1669909842
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 529 Westport Rd
Elizabethtown, KY 42701-2949 - Phone
- (270) 763-8225
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kid Spot Center | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
529 Westport Rd
Elizabethtown, KY 42701-2949
Mailing address
103 Penn Crossing LN Apt 1C
Elizabethtown, KY 42701-1775
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104146109 | Medicaid | KY |
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All providers in Elizabethtown, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. 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.