Doctor Name: | ASHLEY CALHOUN |
NPI Number: | 1982045837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA 11356 |
Business Practice Address: | 14421 Metropolis Ave Ste 103 Fort Myers, FL - 339124323 |
Business Phone Number: | 2395612778 |
Business Fax Number: | 2395618107 |
Mailing Address: | 4552 San Antonio Ln, BONITA SPRINGS |
State: | FL |
Postal Code: | 341347212 |
Phone Number: | 2397769679 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 11356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |