Provider Demographics
NPI:1871688358
Name:PETERS, ASHLIE WARREN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLIE
Middle Name:WARREN
Last Name:PETERS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:ASHLIE
Other - Middle Name:ELIZABETH
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42 DOVER POINT RD UNIT M
Mailing Address - Street 2:DOVER POINT OFFICE PARK
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4669
Mailing Address - Country:US
Mailing Address - Phone:603-969-5063
Mailing Address - Fax:603-740-0060
Practice Address - Street 1:42 DOVER POINT RD UNIT M
Practice Address - Street 2:DOVER POINT OFFICE PARK
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4669
Practice Address - Country:US
Practice Address - Phone:603-969-5063
Practice Address - Fax:603-740-0060
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1030235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30404671Medicaid