Provider Demographics
NPI:1518712645
Name:SCHOONOVER HAQ, ASHLEY JANE (SLP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JANE
Last Name:SCHOONOVER HAQ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JANE
Other - Last Name:SCHOONOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:13455 SE 97TH AVE
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-8662
Mailing Address - Country:US
Mailing Address - Phone:925-588-8007
Mailing Address - Fax:
Practice Address - Street 1:13455 SE 97TH AVE
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8662
Practice Address - Country:US
Practice Address - Phone:925-588-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR17943235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist