Doctor Name: | MRS. ASHLEY MICHELE PHILLIPS |
NPI Number: | 1629275672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.C.C.C.S.L.P. |
License Number: | 22004432A |
Business Practice Address: | 25 S Boehne Camp Rd Evansville, IN - 477123101 |
Business Phone Number: | 8124237468 |
Business Fax Number: | 8124237568 |
Mailing Address: | 3117 State Route 1179, UNIONTOWN |
State: | KY |
Postal Code: | 424615268 |
Phone Number: | 2709522297 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004432A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |