Provider Demographics
NPI:1770010316
Name:BUTLER, ASHLEY NICOLE (HAD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:NICOLE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 ARLINGTON BLVD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2901
Mailing Address - Country:US
Mailing Address - Phone:703-521-1404
Mailing Address - Fax:703-521-1406
Practice Address - Street 1:6120 ARLINGTON BLVD UNIT 4
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2901
Practice Address - Country:US
Practice Address - Phone:703-521-1404
Practice Address - Fax:703-521-1406
Is Sole Proprietor?:No
Enumeration Date:2017-05-14
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist