Provider Demographics
NPI:1326207549
Name:MITCHELL, ASHLEY SUE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:SUE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:SUE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1835 US HWY 1 S
Mailing Address - Street 2:121
Mailing Address - City:ST. AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084
Mailing Address - Country:US
Mailing Address - Phone:904-824-6007
Mailing Address - Fax:
Practice Address - Street 1:1835 US HIGHWAY 1 S STE 121
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-4276
Practice Address - Country:US
Practice Address - Phone:904-824-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2025231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist