Provider Demographics
NPI:1164779328
Name:COX, ASHLEY JAYNE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:JAYNE
Last Name:COX
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25719 COUNTY ROAD 193
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-9609
Mailing Address - Country:US
Mailing Address - Phone:740-502-1082
Mailing Address - Fax:
Practice Address - Street 1:25719 COUNTY ROAD 193
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-9609
Practice Address - Country:US
Practice Address - Phone:740-502-1082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10011235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist