Provider Demographics
NPI:1891065983
Name:BOWLING, ASHLEIGH R (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEIGH
Middle Name:R
Last Name:BOWLING
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 1:671 OLD LONG FORK RD
Mailing Address - Street 2:
Mailing Address - City:VIRGIE
Mailing Address - State:KY
Mailing Address - Zip Code:41572-8901
Mailing Address - Country:US
Mailing Address - Phone:606-639-8406
Mailing Address - Fax:
Practice Address - Street 1:671 OLD LONG FORK RD
Practice Address - Street 2:
Practice Address - City:VIRGIE
Practice Address - State:KY
Practice Address - Zip Code:41572-8901
Practice Address - Country:US
Practice Address - Phone:606-639-8406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-3509235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYGN-153Medicaid