Provider Demographics
NPI:1215185806
Name:GIESCHEN, ASHLEY D
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:D
Last Name:GIESCHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:D
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2806 MATTHEW DR
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-7981
Mailing Address - Country:US
Mailing Address - Phone:660-829-6471
Mailing Address - Fax:660-826-1020
Practice Address - Street 1:1901 S NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-7806
Practice Address - Country:US
Practice Address - Phone:660-826-4947
Practice Address - Fax:660-826-1020
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008025545235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist