Provider Demographics
NPI:1033991732
Name:FARRELL, ASHLEIGH MEGAN (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:MEGAN
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKSTON
Mailing Address - State:TX
Mailing Address - Zip Code:75763
Mailing Address - Country:US
Mailing Address - Phone:903-876-3685
Mailing Address - Fax:
Practice Address - Street 1:2305 SALT WORKS RD
Practice Address - Street 2:
Practice Address - City:PALESTINE
Practice Address - State:TX
Practice Address - Zip Code:75803-3955
Practice Address - Country:US
Practice Address - Phone:903-876-3685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120964235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist