Provider Demographics
NPI:1851962708
Name:WILCOX, ASHLY N (AUD)
Entity Type:Individual
Prefix:DR
First Name:ASHLY
Middle Name:N
Last Name:WILCOX
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 OLD CHAIN BRIDGE RD STE 185
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3945
Mailing Address - Country:US
Mailing Address - Phone:703-866-8819
Mailing Address - Fax:855-750-3325
Practice Address - Street 1:46045 PALISADE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:POTOMAC FALLS
Practice Address - State:VA
Practice Address - Zip Code:20165-8762
Practice Address - Country:US
Practice Address - Phone:703-723-9672
Practice Address - Fax:703-724-0127
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001842237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter