Provider Demographics
NPI:1053636712
Name:FERNANDEZ, ASHLEY DIONE (ASHLEY FERNANDEZ,SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:DIONE
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:ASHLEY FERNANDEZ,SLP
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:DIONE
Other - Last Name:GLASPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASHLEY GLASPER, SLP
Mailing Address - Street 1:35182 FERNANDEZ DR
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346-7202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35182 FERNANDEZ DR
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346-7202
Practice Address - Country:US
Practice Address - Phone:225-200-4303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6079235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist