Provider Demographics
NPI:1659727436
Name:PERKINS, ASHLY DANAE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ASHLY
Middle Name:DANAE
Last Name:PERKINS
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 1:241 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-3337
Mailing Address - Country:US
Mailing Address - Phone:337-466-0388
Mailing Address - Fax:
Practice Address - Street 1:241 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3337
Practice Address - Country:US
Practice Address - Phone:337-466-0388
Practice Address - Fax:337-231-0230
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7375235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist