Provider Demographics
NPI:1417080268
Name:ARDOIN, ASHLIE LEMONS (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLIE
Middle Name:LEMONS
Last Name:ARDOIN
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W POINT DR
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-5921
Mailing Address - Country:US
Mailing Address - Phone:501-851-8761
Mailing Address - Fax:
Practice Address - Street 1:45 W POINT DR
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-5921
Practice Address - Country:US
Practice Address - Phone:501-851-8761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1765235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist