Lisa Ashley, M.ED SLP

Individual provider Active NPI Speech-Language Pathologist · Stillwater, OK

NPI 1962900787 · NPPES record last updated Jan 26, 2018

Key facts

NPI
1962900787
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2292 (OK)
Practice address
42 Murray Hall
Stillwater, OK 74078-3007
Phone
(405) 744-6021
Fax
(405) 744-8070
NPI assigned
Jan 26, 2018
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)
Yes

State licenses

LicenseStateTypeSpecialty
2292OKMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2292 OK Yes

Addresses

Primary practice location

42 Murray Hall
Stillwater, OK 74078-3007

Mailing address

42 Murray Hall
Stillwater, OK 74078-3007
Phone (405) 744-6021

Other providers in Stillwater, OK

All providers in Stillwater, OK · Speech-Language Pathologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.