Provider Demographics
NPI:1639848054
Name:VALDEZ, ASHLEY A (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:A
Last Name:VALDEZ
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 1:1201 66TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5914
Mailing Address - Country:US
Mailing Address - Phone:516-695-5194
Mailing Address - Fax:
Practice Address - Street 1:1201 66TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5914
Practice Address - Country:US
Practice Address - Phone:516-695-5194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14255569OtherASHA CCC-SLP