Doctor Name: | MRS. ASHLEY B WILLSON |
NPI Number: | 1912231291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 018999 |
Business Practice Address: | 19 Wards Ln Menands Ufsd Menands, NY - 12204 |
Business Phone Number: | 5184654561 |
Business Fax Number: | |
Mailing Address: | 3 Barcelona Dr, CLIFTON PARK |
State: | NY |
Postal Code: | 12065 |
Phone Number: | 5184696511 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2009 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 018999 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
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 |