Provider Demographics
NPI:1205001047
Name:STUART, ASHLEA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEA
Middle Name:
Last Name:STUART
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 1:2829 TIMMONS LN APT 206
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5343
Mailing Address - Country:US
Mailing Address - Phone:713-553-6238
Mailing Address - Fax:
Practice Address - Street 1:2829 TIMMONS LN APT 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5343
Practice Address - Country:US
Practice Address - Phone:713-553-6238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100359235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist