Provider Demographics
NPI:1467122267
Name:SHAFFNER, ASHLEY LORIN (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LORIN
Last Name:SHAFFNER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:LORIN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:2209 BELLE CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2536
Mailing Address - Country:US
Mailing Address - Phone:352-875-6235
Mailing Address - Fax:
Practice Address - Street 1:5203 MARYLAND WAY STE 104
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5022
Practice Address - Country:US
Practice Address - Phone:615-560-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7737235Z00000X
NC30004261235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14322990OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)
TN7737OtherTENNESSEE BOARD OF COMMUNICATION DISORDERS & SCIENCE