Provider Demographics
NPI:1356829808
Name:TYLER, ASHLEY ANN (MS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:TYLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-7025
Mailing Address - Country:US
Mailing Address - Phone:501-286-6075
Mailing Address - Fax:501-286-6175
Practice Address - Street 1:2800 S 2ND ST
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-7025
Practice Address - Country:US
Practice Address - Phone:501-286-6075
Practice Address - Fax:501-286-6175
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty