Provider Demographics
NPI:1710130422
Name:GODWIN, ASHLEY MILES (AUD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MILES
Last Name:GODWIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:MARIA
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:PO BOX 244023
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-4023
Mailing Address - Country:US
Mailing Address - Phone:334-244-3347
Mailing Address - Fax:334-244-3906
Practice Address - Street 1:7145 HALCYON SUMMIT DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-6971
Practice Address - Country:US
Practice Address - Phone:334-244-3408
Practice Address - Fax:334-244-3906
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1032A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist