NPI | 1659700839 |
---|---|
Former Name | ASHLEY DENISE REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3604) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-3604) |
235Z00000X Speech-Language Pathologist, (Licence: TN 0000004353) | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2022-07-06 |