Ashley C Vormwald, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Homer, NY
NPI 1740339704 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1740339704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 9 Central Park Place
Homer, NY 13077 - Phone
- (607) 749-1226
- NPI assigned
- Jan 9, 2007
- Reactivated
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
9 Central Park Place
Homer, NY 13077
Mailing address
PO Box 500
Homer, NY 13077-0500
Phone (607) 749-1226
Other providers in Homer, NY
- Sheila Marie Sunderland
- Andras Szabo
- Victoria B Thornton
- Nicole C. Tinker
- Toner Therapeutic Massage
- Wallace Physical Therapy, PLLC
- Sandi H Wallace
- Zoe Walters
- Amy L C White
- Words at Play LLC
All providers in Homer, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. 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.