Provider Demographics
NPI:1891277026
Name:AYRER, ASHLEY KATHLEEN (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KATHLEEN
Last Name:AYRER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 MAIN ST APT A
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2622
Mailing Address - Country:US
Mailing Address - Phone:609-290-1030
Mailing Address - Fax:
Practice Address - Street 1:127 MAIN ST APT A
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-2622
Practice Address - Country:US
Practice Address - Phone:609-290-1030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00927700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist