Provider Demographics
NPI:1609294941
Name:TILAHUN, ASHLEY KYRA (AUD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:KYRA
Last Name:TILAHUN
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:KYRA
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1635 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3601
Mailing Address - Country:US
Mailing Address - Phone:703-524-1212
Mailing Address - Fax:703-524-1212
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:SUITE 250
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205
Practice Address - Country:US
Practice Address - Phone:703-524-1212
Practice Address - Fax:703-524-1212
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAUD000123231H00000X
VA2101001890237700000X
VA2201001422231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist