Doctor Name: | MRS. ASHLEY RENEE SANDERS |
NPI Number: | 1710363551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | 24700 |
Business Practice Address: | 460 Nw Front St Ashdown, AR - 718222700 |
Business Phone Number: | 8708984404 |
Business Fax Number: | |
Mailing Address: | 348 Lr 12, FOREMAN |
State: | AR |
Postal Code: | 718368525 |
Phone Number: | 9032767081 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 24700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |