Provider Demographics
NPI:1225536352
Name:RAY, ABBY LEE (MA, CCC- SLP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:LEE
Last Name:RAY
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 1:1352 THURNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:OH
Mailing Address - Zip Code:45215-3960
Mailing Address - Country:US
Mailing Address - Phone:513-403-8261
Mailing Address - Fax:513-403-8261
Practice Address - Street 1:7222 HERITAGESPRING DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6589
Practice Address - Country:US
Practice Address - Phone:513-403-8261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SP.11725235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist