| Doctor Name: | ASHLEY ZICCARELLI |
| NPI Number: | 1336409267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., CCC-SLP |
| License Number: | SA11878 |
| Business Practice Address: | 2245 Plantation Center Dr Ste 57 Fleming Island, FL - 320034311 |
| Business Phone Number: | 9043741414 |
| Business Fax Number: | 8777363470 |
| Mailing Address: | 8680 Baymeadows Rd E, Apt 1121 JACKSONVILLE |
| State: | FL |
| Postal Code: | 322563982 |
| Phone Number: | 7168648192 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2012 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA11878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |