Provider Demographics
NPI:1427483437
Name:PLUM, ASHLEY
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PLUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4790 W WESCOTT DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4864
Mailing Address - Country:US
Mailing Address - Phone:623-340-2478
Mailing Address - Fax:
Practice Address - Street 1:16578 W GREENWAY RD
Practice Address - Street 2:SUITE 216
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-2184
Practice Address - Country:US
Practice Address - Phone:800-376-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA80502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant