Doctor Name: | ASHLEY MCCORMICK |
NPI Number: | 1831466762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 8827 |
Business Practice Address: | 2485 Maplewood Drive Suite 313 Maplewood, MN - 55109 |
Business Phone Number: | 6517708884 |
Business Fax Number: | 6517708151 |
Mailing Address: | 2745 Aldrich Avenue South, Upper Unit MINNEAPOLIS |
State: | MN |
Postal Code: | 554081317 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/21/2011 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |