Provider Demographics
NPI:1518350909
Name:MCCRARY, ASHLEY H
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:H
Last Name:MCCRARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7675 WOLF RIVER CIR
Mailing Address - Street 2:SITE#202
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1750
Mailing Address - Country:US
Mailing Address - Phone:901-737-3021
Mailing Address - Fax:901-521-6405
Practice Address - Street 1:7675 WOLF RIVER CIR
Practice Address - Street 2:SITE#202
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1750
Practice Address - Country:US
Practice Address - Phone:901-737-3021
Practice Address - Fax:901-521-6405
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNSP0000003801OtherTN LIC