Doctor Name: | ASHLEY STUMP |
NPI Number: | 1659780880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. C.C.C SLP |
License Number: | 4095 |
Business Practice Address: | 510 S. Elliott Suite C Pryor, OK - 743616421 |
Business Phone Number: | 9188254837 |
Business Fax Number: | 9188254644 |
Mailing Address: | 510 S Elliott St Ste C, PRYOR |
State: | OK |
Postal Code: | 743616429 |
Phone Number: | 9188254837 |
Fax Number: | 9188254644 |
NPI Enumeration Date: | 08/13/2014 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |