Provider Demographics
NPI:1871235176
Name:ULMER, ASHLYN ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:ELIZABETH
Last Name:ULMER
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 1:1360 SYCAMORE PL
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-1004
Mailing Address - Country:US
Mailing Address - Phone:985-705-0384
Mailing Address - Fax:
Practice Address - Street 1:825 KOSTMAYER AVE
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-4921
Practice Address - Country:US
Practice Address - Phone:985-643-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7667235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist