Provider Demographics
NPI:1477862654
Name:ASHCRAFT, ANNE M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:774 SACANDAGA RD
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-6027
Mailing Address - Country:US
Mailing Address - Phone:518-382-1202
Mailing Address - Fax:
Practice Address - Street 1:774 SACANDAGA RD
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-6027
Practice Address - Country:US
Practice Address - Phone:518-382-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009131-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist