Provider Demographics
NPI:1902226335
Name:ASHLEY WARD, SLP, LLC
Entity Type:Organization
Organization Name:ASHLEY WARD, SLP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:918-344-3831
Mailing Address - Street 1:2015 S. ASH PL
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-9999
Mailing Address - Country:US
Mailing Address - Phone:918-344-3831
Mailing Address - Fax:918-894-5247
Practice Address - Street 1:840 S ASPEN AVE
Practice Address - Street 2:C
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-4803
Practice Address - Country:US
Practice Address - Phone:918-344-3831
Practice Address - Fax:918-894-5247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4065235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty