Provider Demographics
NPI:1568909810
Name:BEHRENDS, ASHLEY MARIE
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MARIE
Last Name:BEHRENDS
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 1:10002 NW 112TH ST
Mailing Address - Street 2:
Mailing Address - City:MALCOLM
Mailing Address - State:NE
Mailing Address - Zip Code:68402-9561
Mailing Address - Country:US
Mailing Address - Phone:402-796-2151
Mailing Address - Fax:
Practice Address - Street 1:10002 NW 112TH ST
Practice Address - Street 2:
Practice Address - City:MALCOLM
Practice Address - State:NE
Practice Address - Zip Code:68402-9561
Practice Address - Country:US
Practice Address - Phone:402-796-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist