Provider Demographics
NPI:1710638671
Name:SHEFFIELD, ASHLEIGH (CCC SLP)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:SHEFFIELD
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 1:135 ELDREDGE RD
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-1346
Mailing Address - Country:US
Mailing Address - Phone:205-249-0900
Mailing Address - Fax:
Practice Address - Street 1:135 ELDREDGE RD
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-1346
Practice Address - Country:US
Practice Address - Phone:205-249-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA17330235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist