Provider Demographics
NPI:1942493119
Name:BECK, ASHLEY JEANNE (AUD)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JEANNE
Last Name:BECK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:JEANNE
Other - Last Name:WHILLETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2101 N WALDRON ST
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-1197
Mailing Address - Country:US
Mailing Address - Phone:620-669-2500
Mailing Address - Fax:620-694-2170
Practice Address - Street 1:2101 N WALDRON ST
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1197
Practice Address - Country:US
Practice Address - Phone:620-669-2500
Practice Address - Fax:620-694-2128
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2129231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA3720006Medicare PIN