Provider Demographics
NPI:1568655769
Name:WYKLE, ASHLEY AP (MSED, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:AP
Last Name:WYKLE
Suffix:
Gender:F
Credentials:MSED, CCC/SLP
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:A
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF/SLP
Mailing Address - Street 1:509 MOCKINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-5201
Mailing Address - Country:US
Mailing Address - Phone:757-403-2923
Mailing Address - Fax:
Practice Address - Street 1:1413 LASKIN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6007
Practice Address - Country:US
Practice Address - Phone:757-403-2923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005137235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist