Provider Demographics
NPI:1629376686
Name:UECKERT, ASHLEY DAWN
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:DAWN
Last Name:UECKERT
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 1:8202 LAKEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:RALSTON
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2733
Mailing Address - Country:US
Mailing Address - Phone:402-331-4701
Mailing Address - Fax:
Practice Address - Street 1:8202 LAKEVIEW ST
Practice Address - Street 2:
Practice Address - City:RALSTON
Practice Address - State:NE
Practice Address - Zip Code:68127-2733
Practice Address - Country:US
Practice Address - Phone:402-331-4701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist