Provider Demographics
NPI:1609000892
Name:PATTERSON, ASHLEY FARIS (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:FARIS
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 HAINE DR STE 47
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8584
Mailing Address - Country:US
Mailing Address - Phone:956-357-6010
Mailing Address - Fax:956-365-4896
Practice Address - Street 1:2220 HAINE DR STE 47
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8584
Practice Address - Country:US
Practice Address - Phone:956-357-6010
Practice Address - Fax:956-365-4896
Is Sole Proprietor?:No
Enumeration Date:2009-05-04
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist