Provider Demographics
NPI:1548421605
Name:SLOAN, ASHLEY (ST)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SLOAN
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6997 S RIVIERA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2664
Mailing Address - Country:US
Mailing Address - Phone:303-877-4576
Mailing Address - Fax:
Practice Address - Street 1:9603 PINE SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-2300
Practice Address - Country:US
Practice Address - Phone:303-716-9701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-21
Last Update Date:2008-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO120075322355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO79437541Medicaid