Provider Demographics
NPI:1093983652
Name:POSEY, ASHANTA DESHAUN
Entity Type:Individual
Prefix:
First Name:ASHANTA
Middle Name:DESHAUN
Last Name:POSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 FIRST DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-7739
Mailing Address - Country:US
Mailing Address - Phone:770-977-6866
Mailing Address - Fax:770-977-6887
Practice Address - Street 1:2000 FIRST DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-7739
Practice Address - Country:US
Practice Address - Phone:770-977-6866
Practice Address - Fax:770-977-6887
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006805235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist