Provider Demographics
NPI:1043738024
Name:ASHLEY, PAMELA LEA (MHS)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:LEA
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 S ROSETA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-9438
Mailing Address - Country:US
Mailing Address - Phone:573-214-3510
Mailing Address - Fax:573-214-3511
Practice Address - Street 1:1100 S ROSETA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-9438
Practice Address - Country:US
Practice Address - Phone:573-214-3510
Practice Address - Fax:573-214-3511
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty