Provider Demographics
NPI:1619387404
Name:NASTRI, ASHLEY (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:NASTRI
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4340 BLOWING POINT PL
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5300
Mailing Address - Country:US
Mailing Address - Phone:954-263-5592
Mailing Address - Fax:
Practice Address - Street 1:4340 BLOWING POINT PL
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5300
Practice Address - Country:US
Practice Address - Phone:954-263-5592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9552235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist