Provider Demographics
NPI:1700234374
Name:BRATTEL, ASHLEY A (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:A
Last Name:BRATTEL
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 1:3020 E PEARL ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-2025
Mailing Address - Country:US
Mailing Address - Phone:480-253-6021
Mailing Address - Fax:
Practice Address - Street 1:3020 E PEARL ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-2025
Practice Address - Country:US
Practice Address - Phone:480-253-6021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-24
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP9988235Z00000X
AZTSLP9988235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist