Provider Demographics
NPI:1083945141
Name:STEPHENS, ASHLEY (MA CCC-SLP/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:MA CCC-SLP/L
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:EICHORST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP/L
Mailing Address - Street 1:7050 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-1649
Mailing Address - Country:US
Mailing Address - Phone:708-614-1782
Mailing Address - Fax:
Practice Address - Street 1:7050 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1649
Practice Address - Country:US
Practice Address - Phone:708-614-1782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist