Doctor Name: | ASHLEY M RICKELS |
NPI Number: | 1225482367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2981 |
Business Practice Address: | 2110 N Jackson St Tullahoma, TN - 373882208 |
Business Phone Number: | 9314555189 |
Business Fax Number: | 9313932455 |
Mailing Address: | 189 Pariway Rd, TULLAHOMA |
State: | TN |
Postal Code: | 373885351 |
Phone Number: | 9312058237 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2016 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |