Provider Demographics
NPI:1538478979
Name:GARBER, ASHLEY S (CCC-SLP, CERT AVT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:GARBER
Suffix:
Gender:F
Credentials:CCC-SLP, CERT AVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24380 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1971
Mailing Address - Country:US
Mailing Address - Phone:248-918-0470
Mailing Address - Fax:
Practice Address - Street 1:24380 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1971
Practice Address - Country:US
Practice Address - Phone:248-918-0470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist