Provider Demographics
NPI:1154999381
Name:GYORY, ASHLEY GRACE
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:GRACE
Last Name:GYORY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:GRACE
Other - Last Name:FRAUTNICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20450 E OCOTILLO RD APT 123
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-1206
Mailing Address - Country:US
Mailing Address - Phone:602-619-5693
Mailing Address - Fax:
Practice Address - Street 1:20450 E OCOTILLO RD APT 123
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-1206
Practice Address - Country:US
Practice Address - Phone:602-619-5693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA131172355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant