Doctor Name: | ASHLEY CORY |
NPI Number: | 1124377718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,C.C.C.-SLP/L |
License Number: | SL011047 |
Business Practice Address: | 898 Hickory St Pottsville, PA - 179018528 |
Business Phone Number: | 6103937980 |
Business Fax Number: | |
Mailing Address: | 898 Hickory St, POTTSVILLE |
State: | PA |
Postal Code: | 179018528 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/29/2012 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL011047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |