Provider Demographics
NPI:1184007791
Name:TAYLOR, ASHLEY MARIE (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 CHESTNUT RIDGE DR
Mailing Address - Street 2:APT E
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3456
Mailing Address - Country:US
Mailing Address - Phone:703-785-8702
Mailing Address - Fax:
Practice Address - Street 1:154 CHESTNUT RIDGE DR
Practice Address - Street 2:APT E
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3456
Practice Address - Country:US
Practice Address - Phone:703-785-8702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007873235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist