Provider Demographics
NPI:1982043527
Name:ROBINSON, ASHTON CALLAGHAN (MSCCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ASHTON
Middle Name:CALLAGHAN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:ASHTON
Other - Middle Name:NICOLE
Other - Last Name:CALLAGHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCCC-SLP
Mailing Address - Street 1:6312 PICCADILLY SQUARE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5143
Mailing Address - Country:US
Mailing Address - Phone:251-287-0378
Mailing Address - Fax:251-287-0466
Practice Address - Street 1:6312 PICCADILLY SQUARE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5143
Practice Address - Country:US
Practice Address - Phone:251-287-0378
Practice Address - Fax:251-287-0466
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3449235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist