Provider Demographics
NPI:1417420993
Name:DAHARSH, ASHLIE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:
Last Name:DAHARSH
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:ASHLIE
Other - Middle Name:
Other - Last Name:FILKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CF-SLP
Mailing Address - Street 1:10944 104TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33778-4040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1240 MARBELLA PLAZA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-7906
Practice Address - Country:US
Practice Address - Phone:813-341-2726
Practice Address - Fax:813-341-2755
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-07
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA17346235Z00000X
FLSZ8841235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty