Doctor Name: | MRS. ASHLEY ROSE HAVENS |
NPI Number: | 1023339835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 4125 |
Business Practice Address: | 11510 Main Street Louisville, KY - 40243 |
Business Phone Number: | 5027180045 |
Business Fax Number: | 5024095775 |
Mailing Address: | 11510 Main Street, Bright Stars Speech Therapy, Psc LOUISVILLE |
State: | KY |
Postal Code: | 40243 |
Phone Number: | 8658504416 |
Fax Number: | 8657690801 |
NPI Enumeration Date: | 06/15/2010 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |