Provider Demographics
NPI:1205618626
Name:KAUFFMAN, ASHLEE MARIE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:MARIE
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27340 BOHN ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4377
Mailing Address - Country:US
Mailing Address - Phone:586-219-5119
Mailing Address - Fax:
Practice Address - Street 1:23003 GREATER MACK AVE STE A
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1965
Practice Address - Country:US
Practice Address - Phone:248-890-4584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist