Ashley Mehrtens Desselle, M.S. L-SLP, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Luling, LA
NPI 1992922686 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1992922686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5640 (LA)
- Practice address
- 13855 River Rd
Luling, LA 70070-6220 - Phone
- (985) 785-6289
- Fax
- (985) 785-1025
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5640 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Parish School Board | Past |
Accepting new patients | |
| St. Charles Parish School Board | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5640 | LA | Yes |
Addresses
Primary practice location
13855 River Rd
Luling, LA 70070-6220
Mailing address
13855 River Rd
Luling, LA 70070-6220
Phone (985) 785-6289
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1502693 | Medicaid | LA |
Other providers in Luling, LA
- Alexis Daigle
- Christina Daigle
- Jennifer Davison
- Robert Earl Dawson
- Barbara A Dehon-Manuel
- Deborah Eileen Deubler
- Vadakkipalayam N. Devarajan
- Devereux and Nguyen LLC
- Katherine Dornan
- Dr Edmund Jeansonne Jr DDS
All providers in Luling, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. 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.