Doctor Name: | MS. ASHLEY FAITH JUNG |
NPI Number: | 1639409857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SP18025 |
Business Practice Address: | 23361 Madero Suite 100 Mission Viejo, CA - 926912715 |
Business Phone Number: | 9495818239 |
Business Fax Number: | 9498590849 |
Mailing Address: | 161 S. Wakea Ave, KAHULUI |
State: | HI |
Postal Code: | 96732 |
Phone Number: | 8082447467 |
Fax Number: | 8082424762 |
NPI Enumeration Date: | 01/11/2010 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP18025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |