Provider Demographics
NPI:1659739407
Name:HARTLEY, ASHLYN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 MAPLECREST AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-3622
Mailing Address - Country:US
Mailing Address - Phone:440-390-0508
Mailing Address - Fax:
Practice Address - Street 1:12000 MAPLE LEAF DR
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-4346
Practice Address - Country:US
Practice Address - Phone:440-390-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-12229235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist