Provider Demographics
NPI:1164685970
Name:MELTON, ASHLEY P (MCD CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:P
Last Name:MELTON
Suffix:
Gender:F
Credentials:MCD CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4840 W PANTHER CREEK DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3527
Mailing Address - Country:US
Mailing Address - Phone:281-681-3020
Mailing Address - Fax:281-298-9905
Practice Address - Street 1:4840 W PANTHER CREEK DR
Practice Address - Street 2:SUITE 206
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3527
Practice Address - Country:US
Practice Address - Phone:281-681-3020
Practice Address - Fax:281-298-9905
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23786235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist