Provider Demographics
NPI:1619603131
Name:DOUGLAS, ASHLEY LYNN
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:LYNN
Last Name:DOUGLAS
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 1:379 W FORK APT 2610
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-5097
Mailing Address - Country:US
Mailing Address - Phone:214-250-8663
Mailing Address - Fax:
Practice Address - Street 1:379 W FORK APT 2610
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-5097
Practice Address - Country:US
Practice Address - Phone:214-250-8663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant